DEPARTMENT OF STUDENT LIFE
Membership Form

First name : *required field

Last name : *required field

ACES user name : *required field

Street address: *required field

City, State and zip code: *required field

Phone number : *required field *

Student email: * required field *

I am a member of the following organization:

If Other, please specify Org. name : *required field

Please select your affiliation in this organization:

If Other, please specify your affiliation : *required field

I understand that each student organization is required to complete 40 hours of service per semester. Example-The Homecoming Dance is from 6-10 pm. Your student organization hosts a table and four members attend the event. Your organization has completed 16 hours of service.