To Volunteer to Moderate or Chair

Please fill out the form below if you would like to volunteer to be on the program as a Moderator or Chair for a session.

President Name*
First Last
President Email*
Treasurer Name*
First Last
Treasurer Email*
Secondary Officer Name
First Last
Secondary Officer Email
Our organization will have:*
New Faculty Sponsor Name*
First Last
New Faculty Sponsor Email*
New Faculty Sponsor Letter of Support*
I certify that this chapter is eligible for renewal.*
- Agree
- Disagree
To be eligible for renewal, the chapter must remain an institutionally-recognized, student-run organization that is not under any disciplinary action.