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This
application is for: This application for
recognition shall be reviewed by the Student Government
Association, Purpose of Organization: Criteria for Membership: List the required Ten (10) students who desire to be members of this organization: 1. ID# 2. ID# 3. ID# 4. ID# 5. ID# 6. ID# 7. ID# 8. ID# 9. ID# 10. ID# Student Contacts: _____________________ ________________ _______________ _______________ Name Phone Email Secondary Email
_____________________ ________________ _______________ _______________ Name Phone Email Secondary Email
Advisor: _____________________ ________________ _______________ _______________ Name Phone Email Secondary Email
Anticipated Source of Funding □SGA □Fundraising □Membership Dues □Other ◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙◙ For Office Use Only Date Approved ____/____/____ Date Rejected____/____/____
_______________________________ ________________________________ ICC Chair SGA President
_______________________________ ________________________________ SGA Vice-Pres Director of Student Activities
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