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 Officers and Members Organization Report Form 

Officers and advisors, please update annually as necessary.  Active members, please report changes as they are made.  If you are a member of multiple organizations please submit a new form for each one.

Please select from the following: 

Sponsoring Organization:

Club Category:

Position      

Period of Service:    

First Name:    

Last Name:    

G Number:   

College Email Address:    

Phone Number:    


 


  

 


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