REGISTRATION REGISTRATION Use this form to register your school’s MuKappa Chapter School Name * If you're human leave this blank: School Address * The full address of your school (Street address, city, state, zip code) School Shipping Address This address will be used when store items, promo items, or other packages are shipped to your chapter from MuKappa. This address can be a school address, faculty advisor address, etc. School Shipping Contact Name This is the name of the person who will be receiving shipments at the above School Shipping Address. Faculty/Staff Advisor Name * First and Last Name Faculty/Staff Advisor Title * Faculty/Staff Advisor Email * Chapter Cabinet Member 1 Full Name Chapter Cabinet Member 1 Position Chapter Cabinet Member 1 Email* *This email will not be publicly viewable. It will only be used by MuKappa staff for communication. Chapter Cabinet Member 2 Full Name Chapter Cabinet Member 2 Position Chapter Cabinet Member 2 Email* *This email will not be publicly viewable. It will only be used by MuKappa staff for communication. Chapter Cabinet Member 3 Full Name Chapter Cabinet Member 3 Position Chapter Cabinet Member 3 Email* *This email will not be publicly viewable. It will only be used by MuKappa staff for communication. Chapter Cabinet Member 4 Full Name Chapter Cabinet Member 4 Position Chapter Cabinet Member 4 Email* *This email will not be publicly viewable. It will only be used by MuKappa staff for communication. Chapter Cabinet Member 5 Full Name Chapter Cabinet Member 5 Position Chapter Cabinet Member 5 Email* *This email will not be publicly viewable. It will only be used by MuKappa staff for communication. MuKappa Email The official chapter email assigned by your school (Ex. mukappa@universityname.edu). MuKappa Website Link to the MuKappa information page on your school’s website. Please use full URL (Ex. https://mukappa.org instead of just mukappa.org). If you do not have a web URL, please leave this field blank. Chapter Cabinet Members Chapter’s Facebook Please include full URL (Ex. https://mukappa.org instead of just mukappa.org). Chapter’s Instagram Please include full URL (Ex. https://mukappa.org instead of just mukappa.org). Email * This is the email that will be associated with your online chapter account, and will be where all website related correspondence will be sent to (password resets, submission notices, etc.) Username * Your username must be the name of your school (as this is what shows up in the Chapter Directory). Please format it with spaces and initial capital letters like so: Wheaton College, Cedarville University, etc. When your registration is complete, you will use this Username and Password to access your account through the member-only Chapter Login. Password * I have read and accept the privacy policy and allow "MuKappa" to collect and store the data I submit through this form. *