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To be completed and submitted by September 25, 2009. (After September 25, contact Terri Miller at millertl@appstate.edu.) For verification purposes, an e-mail will be sent to the president and advisor of your club or organization once this form has been processed. Click here and login to see your co-curricular transcript.

1. Enter the name of your club or organization.

2. Enter your club's ASU PO Box Number or Campus Departmental Address. You cannot use your personal ASU PO Box.

3. Enter the name of your advisor. This person must be a full-time faculty member or a member of the administrative staff.

4. Enter your advisor's department

5. Enter your advisor's building

6. Enter your advisor's phone

7. Enter your advisor's e-mail

8. Enter the following information for the club president: Name, local phone, ASU Box, ASU e-mail address. Note: Submissions without all the requested info. will not be processed.

9. Enter the following information for all officers: Name, Title, ASU Box, ASU E-mail

10. Does your organization have a web site? Yes No Send me information