ASNIC/ICC Activities Form

Activity

Activity Title:
Name of Your Organization:
Date(s) of Event:
Time of Event: a.m.p.m.    to    a.m.p.m.
Brief Description of Event: 
Goals/Objectives (list 2-3): 

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Contact

Responsible Student
Must be present during the entire event

Name
Phone #
Email 

Advisor Must be present for travel activities

Name  
Phone # 
Email 

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Please choose from the following:

Activity Application/Notification (this includes meetings, fundraising, events, etc.)
Travel

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