MD Student Organization Information Submission

This is the form you can use to submit information regarding the creation or reactivation of an MD student organization. The information will be submitted to the HSPA and the Office of Student Affairs. If you have questions, please email Student Affairs.

Group/Submitter

Organization Name

Location

Contact Person

Penn State Email Address

Phone Number

Group Status

Information

Type

Please upload your constitution

Please submit as Word Document (.doc, .docx, or compatible)

Membership List

Groups originated at Hershey require at least 10 members; groups at UP require at least five. All must be registered PSCOM students.

Name

Mission Statement

You can either paste your mission statement into the text box below, or upload it as a file.

Mission Statement Text

Mission Statement Upload

Please submit as a Word Document (.doc, .docx, or compatible)

Contact Information