College of Health & Human Services

Human Service Club Application Please print this form, complete it, and return to: Dr. Anne Hicks-Coolick Human Service Department, Room 225 Name_______________________________________ Address______________________________________ ____________________________________________ Phone____________________ Email_________________________________________ Major____________________ Interests________________________________________ ______________________________________________ ______________________________________________ Dues: $20 per year Minimum requirements: Must attend at least one meeting and participate in at least one event each semester.   HS Club Mission HS Club Events HS Club Officers