Student Org. Handbook

K.U. Multicultural Center Graduation Stole Application Name: ____________________________________ Please Print – No Nicknames, please. Major: ____________________________________ Date of Graduation: _________________________ Contact Info: (ph)__________________ (email) ___________________ Are you an active student participant with the Multicultural Center and/or affiliated MCC student organization(s)? ❑ Yes ❑ No How many semesters have you been active? _____ The above 2 questions will be verified by the MCC director and/or student organization(s). Indicate how you’ve been active in the Center and/or list the MCC affiliated student groups you were a member of or led: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Have you maintained good academic and social standing with the university throughout your time at Kutztown? ❑ Yes ❑ No If no, use back to explain. _____________________________________________ _______________ signature date -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Application ❑ Accepted – verified by: ______________ date ❑ Denied – reason: