Student Chartering Application

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Step 1 of 2

Organization Name(Required)

Advisor Name(Required)

First Last

Contact Number(Required)

Contact Email(Required)

Club Description and Mission Statement

List 5 currently enrolled, (6 credit minimum) Digital Pen students:

First and Last Name

Student ID

Phone

Press on the (+) to add additional designated representatives.

Possible Events/Activities

Regular Meeting Date/Time/Location

Signature(Required)

Admissions