CoA Club Registration

denotes required fields.

Organization Name Please list the name of the student organization you are affiliated with.

Club Email Address Please provide the email address used to contact your student organization.

President's Name Please indicate the first and last name of your organization's current President.

President's Email Please list the email address for your current club president.

First Agriculture Student Council RepresentativePlease list the name of your first representative that will sit on the council.

Agriculture Student Council Representative EmailPlease list the email address for your first representative.

Second Agriculture Student Council RepresentativePlease list the name of the second representative that will sit on the council.

Second Agriculture Student Council Representative EmailPlease list the email address for your second representative.

Club Website AddressIf applicable, please list the website address associated with your club.