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Student Organization Registration Form

Please complete this ENTIRE form.  You will receive an email from us containing a membership roster for you to complete and submit along with a copy of your organization's Constitution.

If you have any questions, please contact Meghan Sparrow, Coordinator of Student Programs at 304-357-4741 or meghansparrow@ucwv.edu.

Required fields are in bold.  

Organization Information

 

Name of Organization 

  

Mailing Address 

  

Meeting Day/Time/Place 

  

Organization Requirements

 
 

Required GPA 

    If yes, enter GPA:   

Pledges 

  

Dues 

    If yes, enter amount:   

Organization Leaders

Must be a current student with at least a 2.0 (C) cumulative G.P.A) 

 

President (or equivalent)

 
 

Name 

  

Address/Campus Address 

  

Phone/Campus Phone 

  

Email 

  

Vice President (or equivalent)

 
 

Name 

  

Address/Campus Address 

  

Phone/Campus Phone 

  

Email 

  

Secretary (or equivalent)

 
 

Name 

  

Address/Campus Address 

  

Phone/Campus Phone 

  

Email 

  

Treasurer (or equivalent)

 
 

Name 

  

Address/Campus Address 

  

Phone/Campus Phone 

  

Email 

  

Historian (or equivalent)

 
 

Name 

  

Address/Campus Address 

  

Phone/Campus Phone 

  

Email 

  

ADDITIONAL OFFICERS

Please fill out all information for any additional officers.

 

Office  

  

Name 

  

Address/Campus Address 

  

Phone/Campus Phone 

  

Email 

  
   

Office 

  

Name 

  

Address/Campus Address 

  

Phone/Campus Phone 

  

Email 

  

Advisor's Information

 

Name 

  

Department 

  

Position/Title 

 

Office Location 

 

Office Phone 

 

Email 

 
   
PRESIDENT'S STATEMENT: "I certify that the preceding information is accurate. I have read the Student Organization Handbook 2013-2014, and the University of Charleston Student Handbook and agree to uphold the policies. I understand I must maintain at least a 2.0 cumulative GPA during my tenure as president.”
         Enter your initials: