Please provide the following information for all officers of your organization, beginning with the Director/President of the organization. Please note that Student ID numbers will be used by MUB staff to verify full-time student status and to confirm a GPA of at least 2.3 at UNH.

* Org Name:

* Name:

* Position:

* Local/Campus Address (i.e., Gibbs 210):

* GSS Box Number:

* Local/Campus Phone:

* Email Address:

* Student ID Number:

* Summer Email:

* Summer Phone:

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