MCC Student Clubs and Organizations Charter Form



Rebecca Newell * (978)656-3763 * email: newellr@middlesex.mass.edu * Bedford Campus: Campus Center, 203 * Lowell Campus: City 407*

This form is required for new clubs only or those wishing to change their name or mission.

This is an application for a charter membership for the ():





















Names of at least five members:


























Last Modified: 11/28/12