Complete the following information. All fields are required unless otherwise noted.
Name of Organization
Organization Email Address
Web Page URL
Intercom Designee
Please classify your organization. (check all that apply) Academic Honor Society Sport Club Cultural/Multicultural/International Leadership Centered Technology Community Service Political/Social Issues Visual/Performing Arts Entertainment/Media Spiritual Wellness & Fitness Other:
Meeting Day(s) & Time(s)
Brief Description of your organization (to be used in the online directory of student organizations)
Advisor's Name	Title/Department
Telephone Number	Email
Organization Officers: If you wish to be published as a contact person, please check the appropriate box. Each organization must have one contact person. If you have office titles other than President or Treasurer, please inidicate positions responsible for organizational funds and overall responsibility.
Name Telephone Number Email Officer Position College Address Graduating Year Major List as contact online Yes No	Name Telephone Number Email Officer Position College Address Graduating Year Major List as contact online Yes No
Name Telephone Number Email Officer Position College Address Graduating Year Major List as contact online Yes No	Name Telephone Number Email Officer Position College Address Graduating Year Major List as contact online Yes No
Organization Status New Renew
Would your organization like a mailbox in the Student Activities Center? Yes No
Would your organization like a storage cabinet space in the Campus Center? Yes No
When does the organization elect new officers? ---Please Select One---- Jan Feb Mar Apr May Sept Oct Nov Dec