Student Organization Registration Form

1.

Question Title

* 1. Organization Name:

Question Title

* 2. Name of Organization Leadership

Name 1:

Leadership Role:

Email Address:

Cell phone:

Name 2:

Leadership Role:

Email Address:

Cell phone:

Name 3:

Leadership Role:

Email Address:

Cell phone:

Name 4:

Leadership Role:

Email Address:

Cell phone:

Name 5:

Leadership Role:

Email Address:

Cell phone:

Question Title

* 3. Adviser Information

Name:

Email:

Question Title

* 4. Please give an overview of your goals for the upcoming year, including methods for achieving goals that the leadership of your organization is committed to this year.

Goal 1

Goal 2

Goal 3