NSU Student Organization Registration Form

Name of Organization (as it appears in the organizations constitution) :


Academic
Interest
Greek
Pre-Professional
Religious Affiliated
Other

Purpose of the Organization

Organization's Federal I.D. Number :


Membership Requirements :



Officers :

President :

Address :

City, State, ZIP :

Phone Number :

Email Address :


Vice President :

Address :

City, State, ZIP :

Phone Number :

Email Address :


Campus Sponsor :

Address :

City, State, ZIP :

Phone Number :

Email Address :