OMESAC Membership Application

Thank you for your interest in applying for the OME Student Advisory Council (OMESAC)!
We can't wait to learn more about your student organization and how you envision making a difference within our community.

Please fill out this form and allow time for review. You will be notified with the OME's decision as soon as possible. If chosen to be a part of OMESAC an introductory meeting will be set up.

Please reach out at lmartell [at] mit.edu if you have any question or concerns.

Current General Information
Executive Board Information
Statement of Purpose
Additional Information
Complete

Group Name:

Group Advisor Name:

Group Advisor E-mail Address:

General Membership E-mail Address:

Executive Board E-mail Address:

Group Website:

If your group has an office at MIT, please include the building and room number, along with the office telephone number:

Is your group ASA-recognized?

Yes

Is your group an independent living group?

Yes

How many members do you currently have in your student organization?