2016-2017 ELECTED OFFICERS SIGNATURE PROFILE FORM Please read all information carefully! All student organizations are REQUIRED to have a president, vice-president, treasurer, and secretary. Only the president and treasurer have financial and space reservation signatory authority. Three (3) original copies of this form MUST be submitted to the Office of Student Activities, Room C001 North. Information must be typed into this form and signatures must be in black or blue ink. Electronic signatures are not acceptable. These forms MUST be handed in by the registration deadline, October 7, 2016. Name of Organization: Organization Purpose:

(Check One) PRESIDENT

Undergraduate

Graduate VICE PRESIDENT

Name

Name

Home Address

Home Address

City, State, Zip

City, State, Zip

Phone #

Phone #

Cell Phone #

Cell Phone #

Hunter E-mail

@myhunter.cuny.edu

Hunter E-mail

Signature

Signature

CUNY ID:

CUNY ID:

TREASURER

SECRETARY

Name

Name

Home Address

Home Address

City, State, Zip

City, State, Zip

Phone #

@myhunter.cuny.edu

Phone #

Cell Phone # Hunter E-mail

Media

Cell Phone # @myhunter.cuny.edu

Hunter E-mail

Signature

Signature

CUNY ID:

CUNY ID:

@myhunter.cuny.edu