Student Organizations Application

Name*

First Last

Student ID #*

Address*

Street Address Address Line 2 City State ZIP Code

Email Address*

Phone Number*

GPA*

Program of Study*

Credit Hours*

Expected Graduation Date*

Select the Student Organizations You Would Like To Join*

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Student Organizations I want to Join*

(Some Student Organizations require additional information. Those additional fields will be displayed when one of those organizations is selected.)

Additional Fields for NTHS

Nominating Instructor*

Additional Fields for SGA

Program Advisor*

Status*

Full Time
Part Time

Are you a member of any other club at Southern Crescent Technical College?*

Yes
No

If Yes, what clubs?*

Are you interested in being an SGA Officer?*

Yes
No

Note: Candidates for SGA Officer must be current, full-time students for at least one semester at SCTC and plan to be enrolled throughout the next academic year. Students must also have a cumulative grade point average of 2.5

Are you interested in being part of the Student Ambassadors Program?*

Yes
No

Are you interested in helping to conduct tours of the College?*

Yes
No

Meetings are often held on Tuesday (Flint River Campus) and Thursday (Griffin Campus) from 12:00 PM to 1:00 PM. Will you be able to attend regularly?*

Yes
No

Note: If you have class, late arrival and early departures are acceptable.

Digital Signature/Certification*

I am providing my name and date below as digital signature for this form.

Name (For Signature)*

Date (For Signature)*

Additional Fields for NTHS

Additional Fields for SGA

A unit of the Technical College System of Georgia

A unit of the
Technical College System of Georgia