Student Organization Registration Form
  • Organization Information

    Required fields are marked with an asterisk.*  

    Full Organization Name:*
     

    Total Number of Members:*
     

    Meeting Times(s):
     

    Website Address (if applicable):
     

    Mailing Address / Location:*
     

    Anticipated Date(s) of Elections:
     

     

    President/Chief Executive Officer Information

    First Name:*  

     

     
    Middle Name:
     

    Last Name:*
     

      
    Student ID:*
     
    C.U. Box:
     
    Phone:
     
    Email:*
     
    When did you join the organization:
     
    Anticipated Graduation Year:
     
    School Address:
       


     

    Treasurer Information

    First Name:* 

      

    Middle Name: 

     

    Last Name:*
     
    Student ID:*
     
    C.U. Box:
     
    Phone:
     
    Email:*
     
    When did you join the organization:
     
    Anticipated Graduation Year:
     
    School Address:
         

     

     

     

     

     

    Service Chair Information

    First Name:* 

      

    Middle Name: 

     

    Last Name:*
     
    Student ID:*
     
    C.U. Box:
     
    Phone:
     
    Email:*
     
    When did you join the organization:
     
    Anticipated Graduation Year:
     
    School Address:
          


    Advisor Information 
    University Advisor Name (must be a full-time faculty or staff member):

      

    Campus Address: 

      
    Email:*
     
    Campus Phone number:
     
    Mission Statement

    Mission and/or Brief Description of Organization (this will be reproduced in the Student Organization Directory)

     


    After you submit this form, please email a copy of your organization's constitution and roster to sce@capital.edu.

     

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