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 DateName* First Last 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)*MajorAre you interested in serving as club officer?(2.5 GPA required) Yes No Skills and InterestsSignature*CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
