Student Organization Application & Renewal Form

General Information

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Academic Year

Name of Student Organization

Applying/Renewing as a

- Select -Registered Student Group (RSG) Registered Student Funded Organization (RSFO)

Registered Student Group

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Purpose Statement

Membership List

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Advisor (if applicable)

Email

Campus Extension

Member

HCC Email

Phone

HCC Student ID Number

Member

HCC Email

Registered Student Funded Organization

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Send contact information for additional advisors or members to studentactivities@hagerstowncc.edu

Purpose Statement

Meeting Info

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Regular meetings will be held:

Place

Day(s)

- None -Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Time

Advisor

Email

Campus Extension

Membership List

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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