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					                     Student Organization Mix n’ Mingle
                                 Student Organization Registration Form
                                               Friday, August 26, 2011
                                                    5:00-6:00 p.m.
                                         Tennessee Tech University, Dixie Ave.
The Student Organization Mix n’ Mingle is considered to be a highly successful part of Week of Welcome. Many student
organizations sponsor a booth/table where games can be played and prizes given. This event provides a casual
environment for students to meet people and learn more about the different organizations that are offered on Tech’s
campus. Your organization must be registered to participate. Please complete this form and return to the Office of
Orientation and Student Success (RUC 339) by July 15, 2011. Please print legibly.

Name of Organization:
Faculty Advisor:_________________________________________________________________
Summer 2011 Contact Person Name, Phone & Email:


Fall 2011 Contact Person Name, Phone & Email:



                                                 Game & Event Information
In order of preference, please list the type of games your organization would like to sponsor. In the past, organizations
have sponsored games such as mini-golf, dart throws, ball throws, card games, raffles, etc. Be Creative! If the name
does not adequately describe the game, please provide a description. This will help to reduce the chance of game
duplication. Except for a table and two chairs, we will NOT provide any materials for your organization’s game. Setup
time for this event will be 4:00p.m.-4:45p.m. on August 26, 2011. Due to limited space registrations are first come,
first serve. Electricity will not be provided and generators are not allowed. Your organization is responsible for
cleaning their designated area after the event is over. For questions, please contact Laura Horton using the information
below.

First choice:
Second choice:
Third choice:
Prize Description (for example: candy, pencils, key chains, stickers, cups):
                                                                           _______________
Please check all that apply:
____We would like to participate in the Student Organization Mix n’ Mingle
____We need a whole table (8 feet long)


Comments:
                                           Please return by Friday, July 15, 2011 to:
                               Attn: Laura Horton/Student Coordinator for Freshman Transition
                                             Tennessee Technological University
                                                         P.O. Box 5086                                       Save As
                                                     Cookeville, TN 38505
                                            Phone: 372-3245 Fax: (931) 372-6406
                                              Email: laurahorton14@gmail.com                                   Print
                        You will receive a confirmation email upon the approval of your application.

				
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