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ACM-W Student Chapters: Petition
To: ACM Chief Operating Officer/ACM-W Committee
From: The Proposed Student Chapter of the ACM-W
Date: _____________________
Re: Petition for recognition of our Chapter to be known as
Name_____________________________________________________________
Address _________________________________________________________
_________________________________________________________________
_________________________________________________________________
Phone _____________________ Fax ____________________________
E-mail ___________________________________________
We request recognition as an official Student Chapter of the ACM-W, and approval
of the bylaws, which are attached. Below are the names of at least two officers
which are at this time members or are including a membership application herewith.
Member No. ______________________________
Member application attached
Name ____________________________________
Chair ___________________________________
Member No. ______________________________
Member application attached
Name ____________________________________
Vice Chair ______________________________
Member No. ______________________________
Member application attached
Name ____________________________________
Secretary _______________________________
Member No. ______________________________
Member application attached
Name ____________________________________
Treasurer _______________________________
Member No. ______________________________
Member application attached
Sponsor Name ____________________________