Club/Organization Contact Form

CLUB/ORGANIZATION GUIDELINES

Students seeking officer positions and serving as officers within a recognized student organization must be currently enrolled students at the college, with a minimum 2.0 GPA. Student organization officers and members must also be in compliance with the college’s academic standards.

Club/Org Information

Term

Name of Organization

Meeting Frequency

Meeting Dates

Meeting Time(s)

Location

Notes

Student Requestors Information

Leadership Title

Term

StarID

First Name

Last Name

Email

Phone Number

Academic Standing

By checking this box I certify that I am currently enrolled at North Hennepin Community College in good academic standing with a minimum 2.0 GPA.

My e-signature is my legally binding signature, per Minnesota Statutes, section 325L.07.

I affirm under penalty of perjury that I have carefully read and understand each of the above statements, agree to all terms and conditions as stated, and that all of the information I provided on this form is true.

Signature

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Leadership Roles

Advisor Information

Leadership Title

Term

Advisor Name

Email

Phone Number

Does your club have more than one Advisor?

Yes

No

Second Advisor Information

Leadership Title

Term

Advisor Name

President Information

Leadership Title

Term

First Name

Last Name

Vice President Information

Leadership Title

Term

First Name

Last Name

Secretary Information

Leadership Title

Term

First Name

Last Name

Treasurer Information

Leadership Title

Term

First Name

Last Name

Additional Officer Information

Leadership Title

Term

First Name

Last Name

Describe Role

Does your club have more than one Additional Officer?

Yes

No

Additional Officer Information

Leadership Title

Term

First Name

Last Name

Describe Role

Does your club have more than one Additional Officer?

Yes

No

Additional Officer Information

Leadership Title

Term

First Name

Last Name

Describe Role

Club/Organization Contact Form

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