Club Membership Form "*" indicates required fields This form is to be completed by any student who is interested in actively participating in a club. This form must be completed for each club that a student wishes to join. The form must be submitted by October 1 for Fall or February 1 for Spring. * - Indicates a required field.Club Name* Today's Date Name* First Last SSN# or Student ID#* Address* City* State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code* Phone*Student Email* Semester* Fall Spring Number of credits (enrolled)* Major Are you interested in serving as club officer?(2.5 GPA required) Yes No Skills and InterestsSignature* Reset signature Signature locked. Reset to sign again CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
