Organization Public Data Form
The Office of Student Life and Development often receives requests for information on specific student organizations. This can include students wanting to join an organization, similar organizations at other campuses that want to contact your group, and campus individuals looking to get in touch with your organization. Therefore we are asking that you complete this form with contact information and a short description of your organization.

Please be aware that the information you give here will be made available to interested individuals. It may also be used in Office of Student Life and Development for brochures, printed information, and websites.

For questions or comments, please contact the Club Coordinator, Christina Cross, Ccross@citytech.cuny.edu, 718.260.5391
Sign in to Google to save your progress. Learn more
Organization Name *
Type of Organization *
Organization Website
Social Media sites are acceptable
Club Meeting Day
Club Meeting Time
Meeting Location *
Mission Statement/Purpose of Organization *
Short Description of the Organization *
Public Contact First Name *
Public Contact Last Name *
Public Contact Telephone
Public Contact E-mail *
Organization's Faculty Advisor *
Organization's Faculty Advisor's E-mail Address *
Organization's Faculty Advisor's Number
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy