Student Club Points Verification Form

Group submitting
Date Date / MM / DD YYYY
Name of event/activity
Event Date Event Date / MM / DD YYYY
Select the categories you are seeking credit for:

Select the categories you are seeking credit for: Club activity Campus event participation Volunteer/Community Service Battle of the Halls Industry/career event credit
Group Advisor Group Advisor First Last
Advisor email

@okstate.edu
Person Submitting Form Person Submitting Form First Last
List of participants