Club/Organization Registration Form

This form must be submitted at the beginning of each semester by each student club and organization on campus. Registration notifies the University of the organization's existence and provides the office with the necessary information in order to communicate with you. Completing this registration will allow your club/organization to be listed in the Student Organization Directory, reserve and/or use University facilities, vehicles, or post announcements via the campus email lists or on the VideoNet System.

Club Organization Information

Name of Club/Organization: *

Purpose or Description:

Provide a short description which may be included in publications -- only necessary if you wish to change your description or if this is a new club

Is your club a sports or recreation club?: *

Yes

No

Primary Contact Information

Primary Contact Name: *

Class Year: *

SMC: *

Email: *

Phone: *

We publish a Student Organization Directory which will include your name and email address as contact information for this organization. Would you like your phone number listed as well?: *

Yes

No

Club/Organization General Contact Information

Email:

General email address for club/organization (should not be a personal/individual's email)

Webpage or Blog:

SMC:

Location/Office:

Name of Faculty/Staff Advisor:

Office Phone Number:

Club/Organization Officers

Officer 1

Officer Name:

Position:

SMC:

Email:

Officer 2

Officer Name:

Position:

SMC:

Email:

Officer 3

Officer Name:

Position:

SMC:

Email:

Officer 4

Officer Name:

Position:

SMC:

Email:

Officer 5

Officer Name:

Position:

SMC:

Email:

Membership

Member:

Class Year:

Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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Eg. 2014

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