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 2010-2011, 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.”
	I understand and agree. Enter your initials:

Student Organization Registration Form

Organization Information

Organization Requirements

Organization Leaders

President (or equivalent)

Vice President (or equivalent)

Secretary (or equivalent)

Treasurer (or equivalent)

Historian (or equivalent)

ADDITIONAL OFFICERS

Advisor's Information