University of Georgia
News
Give
Search
Menu
Education
Research
Hospital & Primary Care
Diagnostic Services
Home
>
Student Life
>
Student Clubs & Organizations
>
Registration of Corporations Form
Registration of Corporations Form
Name of Person Completing This Form
First
Last
Your Role
If you aren't the student representative, or if there are additional representatives, please list them here (comma separated)
Your Email
Email of Student Representative (if that isn't who is completing the form)
Information
Name of Company Being Represented
Brief description of the company
Name of the student's supervisor within the company
First
Last
Supervisor Email
Supervisor Phone
Supervisor Mobile
Supervisor Fax
Duties required of the student by company
Benefits for the student respresentative (pay, travel, other gifts, etc)
The process by which new representatives will be chosen
Signature
Date
MM slash DD slash YYYY
CAPTCHA
Student Clubs & Organizations
Registration of Corporations Form
Corporate Interaction: Presentation Request
Corporate Interaction: Product Distribution Request
going beyond the expected