Student Organization Application & Renewal Form

General Information

Academic Year

Name of Student Organization

Applying/Renewing as a

Registered Student Group

Purpose Statement

Membership List

Student Leader

HCC Email

Phone

HCC Student ID Number

Advisor (if applicable)

Campus Extension

Member

HCC Email

Phone

HCC Student ID Number

Member

HCC Email

Phone

HCC Student ID Number

Member

HCC Email

Phone

HCC Student ID Number

Registered Student Funded Organization

Purpose Statement

Advisor

Campus Extension

Advisor

Campus Extension

Advisor

Campus Extension

Day(s)

Place

Membership List

President

HCC Email

Phone

HCC Student ID Number

Vice-President

HCC Email

Phone

HCC Student ID Number

Treasurer

HCC Email

Phone

HCC Student ID Number

Secretary

HCC Email

Phone

HCC Student ID Number

Member

HCC Email

Phone

HCC Student ID Number

Member

HCC Email

Phone

HCC Student ID Number

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Student Organization Application & Renewal Form

Student Organization Application & Renewal Form