Muir College Student Organization Registration (2023-2024)
Please complete this form after reviewing the Muir College Student Organization Criteria (https://muir.ucsd.edu/studentlife/involvement/student-org-resources.html#Student-Organization-Criteria).

To complete this form, have the following ready:

Name, email, and phone number of 3-5 principal members.


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Email *
Organization Name *
Organization Advisor *
Please select the Muir College staff member(s) that advise(s) your organization
Required
Primary Principal Member completing form (Chair, President, etc.)
Please include your information as the person filling out this form so Muir College may contact you with questions relating to the reapplication.
Name *
University Email *
Phone Number *
College Affiliation *
Required
Organization Website
If your organization has a website, please enter the URL here.
Organization Leadership
Please provide the name, position, university email, and phone number for 4 additional principal members within your organization.  These individuals will be the primary contacts of the organization.  If you have additional members that can also be used as primary contacts, please indicate below.
Principal Member 2
Name *
Position/Title *
University Email *
Phone Number *
College Affiliation *
Required
Principal Member 3
Name *
Position/Title *
University Email *
Phone Number *
College Affiliation *
Required
Principal Member 4
Name
Position/Title
University Email
Phone Number
College Affiliation
Principal Member 5
Name
Position/Title
University Email
Phone Number
College Affiliation
Do you have other principal members? *
Select yes if there are other principal members in your organization.
Questions?
If you have any questions about the process, feel free to contact Mario Garibay, Assistant Dean of Student Affairs at magaribay@ucsd.edu.
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