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B.A.N. Alliance Request Form
Please fill out this form to request your organization's acceptance into the Black Alliance Network.
* Indicates required question
Name of Organization
*
Your answer
Name and position of the person filling out form
*
Your answer
Name of Organization's President (First and Last)
*
Your answer
Name of Organization's Vice President (First and Last)
*
Your answer
Vice President's Email (TerpMail Only)
*
Your answer
Advisor's Email (UMD/Terpmail Only)
Your answer
Are you a recognized organization under UMD/SORC?
*
Yes
No
Pending
What is the purpose of your organization
*
Your answer
About how many members does your organization have
*
Your answer
Does your organization have an online presence? If so what are their handles/usernames
*
Your answer
Why are you requesting to join the Black Alliance Network?
*
Your answer
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