Student Club Registration Form

1
Club name* This field is required.
2
Club description* This field is required.A brief description of what your club intends to accomplish, which student group you aim to serve, and/or what you stand for.
3
Staff/faculty advisor name* This field is required.
First Name
Last Name
4
Advisor email* This field is required.
example@example.com
5
Advisor phone number* This field is required.
Please enter a valid phone number.
6
Club President name* This field is required.
First Name
Last Name
7
Email* This field is required.
example@example.com
8
Phone Number* This field is required.
Please enter a valid phone number.
9
Student ID #* This field is required.
10
Club Treasurer name* This field is required.
First Name
Last Name
11
Email* This field is required.
example@example.com
12
Phone Number* This field is required.
Please enter a valid phone number.
13
Student ID #* This field is required.
14
Vice PresidentFull name, phone number, email address, student ID #
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Large
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Small
Ok
Ok
15
SecretaryFull name, phone number, email address, student ID #
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Large
Normal
Small
Ok
Ok
16
SocialFull name, phone number, email address, student ID #
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Large
Normal
Small
Ok
Ok
17
OtherTitle, full name, phone number, email address, student ID #
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Large
Normal
Small
Ok
Ok
18
OtherTitle, full name, phone number, email address, student ID #
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Large
Normal
Small
Ok
Ok
19
President: Signature* This field is required.
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20
Treasurer: Signature* This field is required.
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21
Advisor: Signature* This field is required.
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