OFFICER'S INFORMATION PAGE
ACADEMIC YEAR 2008-2009
Details of the person filling out this form
Name:
Email:
OFFICIAL NAME OF THE ORGANIZATION:
(Must exactly the same on all the forms)
New Organization
Re-Registration
Just Updating
Side registered to :
East Side
West Side
Please select the Number Code and Title Code of your organization:
01-Cultural/Ethnic
02-Pre-Professional
03-Military
04-Political/Social Issues
05-Religious
06-Service Oriented
07-Performance/Literary Arts/Fine Arts
08-Sports/Rec/Leisure Activities
09-Greek Life
10-Honorary
11-Governance
12-Other
FACULTY ADVISOR DETAILS:
Name:
Phone:
(Please enter as x-xxxx)
Department:
Email Address:
Office Room
Building:
Mail Code:
PRESIDENT or TITLE of 1st OFFICER POSITION
Name:
Phone:
(Please enter as xxx-xxx-xxxx)
UIN#:
Email Address:
Current Street Address:
City:
State:
ZipCode:
TREASURER or TITLE of 2nd OFFICER POSITION
Name:
Phone:
(Please enter as xxx-xxx-xxxx)
UIN#:
Email Address:
Current Street Address:
City:
State:
ZipCode:
VICE PRESIDENT or TITLE of 3rd OFFICER POSITION
Name:
Phone:
(Please enter as xxx-xxx-xxxx)
UIN#:
Email Address:
Current Street Address:
City:
State:
ZipCode:
TITLE of 4th OFFICER POSITION
Name:
Phone:
(Please enter as xxx-xxx-xxxx)
UIN#:
Email Address:
Current Street Address:
City:
State:
ZipCode:
TITLE of 5th OFFICER POSITION
Name:
Phone:
(Please enter as xxx-xxx-xxxx)
UIN#:
Email Address:
Current Street Address:
City:
State:
ZipCode:
TITLE of 6th OFFICER POSITION
Name:
Phone:
(Please enter as xxx-xxx-xxxx)
UIN#:
Email Address:
Current Street Address:
City:
State:
ZipCode:
TITLE of 7th OFFICER POSITION
Name:
Phone:
(Please enter as xxx-xxx-xxxx)
UIN#:
Email Address:
Current Street Address:
City:
State:
ZipCode: