Student Organization Information Request First Name: Last Name: Email: Phone: ( ) - Second three digits Last four digits Address: City: State: Zip: Organization Interest: A Class Act Drama Accounting Society Alpha Beta Gamma Art Club Baptist Student Ministry Chi Alpha Gamers United International Society of Automation Paralegal Organization Work & Education Recharged Phi Theta Kappa Professional Cosmetology Association Sigma Kappa Delta Student Government Association Webb Historical Society General Questions Comments: Validation: