Virginia Western Student Leader Roster and Annual Club Renewal Form - 2018/2019
This form must be submitted each year to maintain active status for each club and organization. Please note that a minimum of 3 student leaders must be submitted to maintain status. All student leaders must be currently taking classes at Virginia Western.
Student Organization/Club Name
Faculty/Staff Sponsor Name
Faculty/Staff Email Address
Faculty/Staff Phone Number
Faculty/Staff Employment Category
Full-Time Staff (Exempt)
Full-Time Staff (Non-Exempt)
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