Annual Student Organization Registration

Please submit this form by October 1st of the new school year. Changes to your organizations information should be submitted at the beginning of each school year and as they occur during the school year.

This form is required for reserving any campus space and hosting activities.

Organizations that do not register at the start of a new academic year will be considered inactive. To regain active status, please send a request via email to Krysten Edwards, Director of Student Activities at kedwards@jc.edu or call Krysten at (701) 252-3467 ext. 5800.

Academic Year: * - Select -2012-20132013-20142014-20152015-2016

Name of Organization: *

Person completing this form: *

Your email: *

One faculty advisor is required. However, you may have additional advisors.

Advisor: *

Advisor:

Officer Information

	Name	Email	PO Box	Phone
President
Chair
Student Leader

Additional Officers

Please include name and position.

Current Members

Please list by name.

Please enter the characters from the image: *