{"id":702,"date":"2019-12-20T22:42:20","date_gmt":"2019-12-20T22:42:20","guid":{"rendered":"http:\/\/forms.westernu.edu\/students\/?page_id=702"},"modified":"2025-11-25T18:09:25","modified_gmt":"2025-11-25T18:09:25","slug":"soc-club-presidents","status":"publish","type":"page","link":"https:\/\/forms.westernu.edu\/students\/soc-club-presidents\/","title":{"rendered":"SOC and Club Presidents"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use 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class='gform-body gform_body'><ul id='gform_fields_55' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_55_70\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><\/li><li id=\"field_55_32\" class=\"gfield gfield--type-name gfield--input-type-name gf_left_half gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Your Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_55_32'>Please provide your legal name.<\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_55_32'>\n                            \n                            <span id='input_55_32_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_32.3' id='input_55_32_3' value=''   aria-required='true'   placeholder='First Name'  \/>\n                                                    <label for='input_55_32_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_55_32_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_32.6' id='input_55_32_6' value=''   aria-required='true'   placeholder='Last Name'  \/>\n                                                    <label for='input_55_32_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_55_38\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_55_38'>Your WesternU E-mail Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_55_38'>Must include @westernu.edu<\/div><div class='ginput_container ginput_container_email'>\n                            <input name='input_38' id='input_55_38' type='email' value='' class='medium'   placeholder='@westernu.edu' aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_55_38\" \/>\n                        <\/div><\/li><li id=\"field_55_5\" class=\"gfield gfield--type-select gfield--input-type-select gf_left_half gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_55_5'>In which club are you an officer?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_55_5'>If your club is not listed, please e-mail <a href=\"mailto:studentaffairs@westernu.edu\">studentaffairs@westernu.edu<\/a><\/div><div class='ginput_container ginput_container_select'><select name='input_5' id='input_55_5' class='medium gfield_select'  aria-describedby=\"gfield_description_55_5\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select One<\/option><option value='Select One' >Select One<\/option><option value='Academy of General Dentistry' >Academy of General Dentistry<\/option><option value='Academy of Managed Care Pharmacy' >Academy of Managed Care Pharmacy<\/option><option value='AI in Medicine' >AI in Medicine<\/option><option value='American Academy of Podiatric Practice Management (AAPPM)' >American Academy of Podiatric Practice Management (AAPPM)<\/option><option value='American Academy of Podiatric Sports Medicine' >American Academy of Podiatric Sports Medicine<\/option><option value='American Assembly for Men in Nursing' >American Assembly for Men in Nursing<\/option><option value='American Association of Public Health Dentistry at WesternU' >American Association of Public Health Dentistry at WesternU<\/option><option value='American Association of Women Dentists' >American Association of Women Dentists<\/option><option value='American Association of Women Podiatrists' >American Association of Women Podiatrists<\/option><option value='American Association Pharmaceutical Scientists' >American Association Pharmaceutical Scientists<\/option><option value='American Association Psychiatric Pharmacists' >American Association Psychiatric Pharmacists<\/option><option value='American College of Foot &amp; Ankle Surgeons' >American College of Foot &amp; Ankle Surgeons<\/option><option value='American College of Osteopathic Family Physicians' >American College of Osteopathic Family Physicians<\/option><option value='American College of Osteopathic Family Physicians-Lebanon' >American College of Osteopathic Family Physicians-Lebanon<\/option><option value='American College of Osteopathic Pediatricians-Lebanon' >American College of Osteopathic Pediatricians-Lebanon<\/option><option value='American College of Osteopathic Surgeons' >American College of Osteopathic Surgeons<\/option><option value='American College of Podiatric Medicine' >American College of Podiatric Medicine<\/option><option value='American Dental Education Association' >American Dental Education Association<\/option><option value='American Medical Association - Medical Student Section of COMP-Northwest-Lebanon' >American Medical Association - Medical Student Section of COMP-Northwest-Lebanon<\/option><option value='American Medical Student Association' >American Medical Student Association<\/option><option value='American Medical Women&#039;s Association\/OB-GYN Club' >American Medical Women&#039;s Association\/OB-GYN Club<\/option><option value='American Medical Women&#039;s Association-Lebanon' >American Medical Women&#039;s Association-Lebanon<\/option><option value='American Optometric Student Association' >American Optometric Student Association<\/option><option value='American Pharmacists Association - Academy of Students' >American Pharmacists Association - Academy of Students<\/option><option value='American Student Dental Association' >American Student Dental Association<\/option><option value='Anesthesiology Club' >Anesthesiology Club<\/option><option value='Animal Nutrition Club' >Animal Nutrition Club<\/option><option value='Armenian Student Association' >Armenian Student Association<\/option><option value='Artificial Intelligence in Medicine-Lebanon' >Artificial Intelligence in Medicine-Lebanon<\/option><option value='Asian American Veterinary Medical Professionals' >Asian American Veterinary Medical Professionals<\/option><option value='Asian-American Health Professions Student Association - Asian Pacific American Medical Student Association' >Asian-American Health Professions Student Association - Asian Pacific American Medical Student Association<\/option><option value='Asian-Pacific American Medical Student Association-Lebanon' >Asian-Pacific American Medical Student Association-Lebanon<\/option><option value='Beta Sigma Kappa Optometric Honor Society' >Beta Sigma Kappa Optometric Honor Society<\/option><option value='Bioethics Interest Group' >Bioethics Interest Group<\/option><option value='California Medical Association' >California Medical Association<\/option><option value='California Society of Health System Pharmacists' >California Society of Health System Pharmacists<\/option><option value='Cardiology Interest Group' >Cardiology Interest Group<\/option><option value='Chinese-American Health Students Association' >Chinese-American Health Students Association<\/option><option value='Christian Fellowship Club-Lebanon' >Christian Fellowship Club-Lebanon<\/option><option value='Club of Psychiatry Enthusiasts' >Club of Psychiatry Enthusiasts<\/option><option value='College of Optometrists in Vision Development' >College of Optometrists in Vision Development<\/option><option value='Contact Lens Club' >Contact Lens Club<\/option><option value='Cultural Awareness Club-Lebanon' >Cultural Awareness Club-Lebanon<\/option><option value='Dental Student Research Group' >Dental Student Research Group<\/option><option value='Dermatology Interest Group' >Dermatology Interest Group<\/option><option value='Dermatology Interest Group - Lebanon' >Dermatology Interest Group - Lebanon<\/option><option value='Doctor of Nursing Practice Association' >Doctor of Nursing Practice Association<\/option><option value='Emergency Medicine Interest Group-Lebanon' >Emergency Medicine Interest Group-Lebanon<\/option><option value='Emergency Medicine Interest Group-Pomona' >Emergency Medicine Interest Group-Pomona<\/option><option value='Environmental Advocates: Right to Health' >Environmental Advocates: Right to Health<\/option><option value='Equality Alliance-Lebanon' >Equality Alliance-Lebanon<\/option><option value='Fellowship of Christian Optometrists' >Fellowship of Christian Optometrists<\/option><option value='Filipino American Student Association' >Filipino American Student Association<\/option><option value='Gastroenterology Interest Group' >Gastroenterology Interest Group<\/option><option value='Global Health Club-Lebanon' >Global Health Club-Lebanon<\/option><option value='Global Health Club-Pomona' >Global Health Club-Pomona<\/option><option value='Gold Humanism Honor Society' >Gold Humanism Honor Society<\/option><option value='Gold Humanism Honor Society-Lebanon' >Gold Humanism Honor Society-Lebanon<\/option><option value='Harm Reduction and Addiction Medicine Interest Group' >Harm Reduction and Addiction Medicine Interest Group<\/option><option value='Harm Reduction and Addiction Medicine Interest Group-Lebanon' >Harm Reduction and Addiction Medicine Interest Group-Lebanon<\/option><option value='Harvest Harmony' >Harvest Harmony<\/option><option value='Hispanic Student Dental Association' >Hispanic Student Dental Association<\/option><option value='Humor and Art as Medicine' >Humor and Art as Medicine<\/option><option value='Indian Student Association' >Indian Student Association<\/option><option value='Industry Pharmacists Organization' >Industry Pharmacists Organization<\/option><option value='Inland Empire Outreach' >Inland Empire Outreach<\/option><option value='Integrative Medicine Club' >Integrative Medicine Club<\/option><option value='Internal Medicine Club- Lebanon' >Internal Medicine Club- Lebanon<\/option><option value='Interventional Radiology Interest Group' >Interventional Radiology Interest Group<\/option><option value='Iranian Student Association' >Iranian Student Association<\/option><option value='Jewish Student Association' >Jewish Student Association<\/option><option value='Kappa Psi Pharmaceutical Fraternity' >Kappa Psi Pharmaceutical Fraternity<\/option><option value='Korean Student Association' >Korean Student Association<\/option><option value='Latino Medical Student Association' >Latino Medical Student Association<\/option><option value='Latino Medical Student Association-Lebanon' >Latino Medical Student Association-Lebanon<\/option><option value='Latinx Veterinary Medical Association' >Latinx Veterinary Medical Association<\/option><option value='LGBTQ Equality Alliance' >LGBTQ Equality Alliance<\/option><option value='Lifestyle Medicine Interest Group' >Lifestyle Medicine Interest Group<\/option><option value='Lions Club @ WesternU' >Lions Club @ WesternU<\/option><option value='Medical Students for Choice-Lebanon' >Medical Students for Choice-Lebanon<\/option><option value='Middle Eastern Health Professional Association' >Middle Eastern Health Professional Association<\/option><option value='Military Medical Student Association' >Military Medical Student Association<\/option><option value='Military Medical Student Association-Lebanon' >Military Medical Student Association-Lebanon<\/option><option value='Musicians in Medicine' >Musicians in Medicine<\/option><option value='Muslim Student Association' >Muslim Student Association<\/option><option value='Narrative Medicine Club-Lebanon' >Narrative Medicine Club-Lebanon<\/option><option value='National Community Pharmacists Association' >National Community Pharmacists Association<\/option><option value='National Hispanic Pharmacists Association' >National Hispanic Pharmacists Association<\/option><option value='National Optometric Student Association' >National Optometric Student Association<\/option><option value='National Student Nurse Association' >National Student Nurse Association<\/option><option value='OB-GYN Club - Lebanon' >OB-GYN Club - Lebanon<\/option><option value='Oncology Interest Group' >Oncology Interest Group<\/option><option value='Ophthalmology Interest Group' >Ophthalmology Interest Group<\/option><option value='Optometric Extension Program' >Optometric Extension Program<\/option><option value='Optometry Private Practice Club' >Optometry Private Practice Club<\/option><option value='Orthodox Union Jewish Learning on Campus' >Orthodox Union Jewish Learning on Campus<\/option><option value='Osteopathic Physicians &amp; Surgeons of California' >Osteopathic Physicians &amp; Surgeons of California<\/option><option value='Osteopathic Physicians and Surgeons of Oregon' >Osteopathic Physicians and Surgeons of Oregon<\/option><option value='Parasitology Club' >Parasitology Club<\/option><option value='Pathology Interest Group' >Pathology Interest Group<\/option><option value='Pediatric Interest Group' >Pediatric Interest Group<\/option><option value='Phi Delta Epsilon' >Phi Delta Epsilon<\/option><option value='Phi Lambda Sigma - Gamma Nu Chapter' >Phi Lambda Sigma - Gamma Nu Chapter<\/option><option value='Physical Medicine &amp; Rehabilitation Club' >Physical Medicine &amp; Rehabilitation Club<\/option><option value='Physical Medicine and Rehabilitation-Lebanon' >Physical Medicine and Rehabilitation-Lebanon<\/option><option value='Physical Therapy Advocacy Club' >Physical Therapy Advocacy Club<\/option><option value='Physical Therapy Advocacy Club-Lebanon' >Physical Therapy Advocacy Club-Lebanon<\/option><option value='Pipeline to Health Careers-Pomona' >Pipeline to Health Careers-Pomona<\/option><option value='Podopediatrics Club' >Podopediatrics Club<\/option><option value='Pomona Community Health Action Team' >Pomona Community Health Action Team<\/option><option value='Pomona Homeless Outreach Project' >Pomona Homeless Outreach Project<\/option><option value='Prison Education Project' >Prison Education Project<\/option><option value='Psychiatry Student Interest Group Network-Lebanon' >Psychiatry Student Interest Group Network-Lebanon<\/option><option value='Public Health Club' >Public Health Club<\/option><option value='Research Club-Lebanon' >Research Club-Lebanon<\/option><option value='Rho Chi Society' >Rho Chi Society<\/option><option value='Rural Health Club-Lebanon' >Rural Health Club-Lebanon<\/option><option value='SC - American Association of Avian Pathologists' >SC - American Association of Avian Pathologists<\/option><option value='SC - American Association of Bovine Practitioners' >SC - American Association of Bovine Practitioners<\/option><option value='SC - American Association of Equine Practitioners' >SC - American Association of Equine Practitioners<\/option><option value='SC - American Association of Feline Practitioners' >SC - American Association of Feline Practitioners<\/option><option value='SC - American College of Veterinary Internal Medicine' >SC - American College of Veterinary Internal Medicine<\/option><option value='SC - American College of Veterinary Pathologists' >SC - American College of Veterinary Pathologists<\/option><option value='SC - American Holistic Veterinary Medicine Association' >SC - American Holistic Veterinary Medicine Association<\/option><option value='SC - American Osteopathic Association of Orthopedics' >SC - American Osteopathic Association of Orthopedics<\/option><option value='SC - American Veterinary Society of Animal Behavior' >SC - American Veterinary Society of Animal Behavior<\/option><option value='SC - Association of Shelter Veterinarians' >SC - Association of Shelter Veterinarians<\/option><option value='SC - Christian Veterinary Mission' >SC - Christian Veterinary Mission<\/option><option value='SC - Humane Society Veterinary Medical Alliance' >SC - Humane Society Veterinary Medical Alliance<\/option><option value='SC - Society for Theriogenology' >SC - Society for Theriogenology<\/option><option value='Sigma Sigma Phi' >Sigma Sigma Phi<\/option><option value='Sigma Sigma Phi-Lebanon' >Sigma Sigma Phi-Lebanon<\/option><option value='Society for Medical &amp; Bioethics-Lebanon' >Society for Medical &amp; Bioethics-Lebanon<\/option><option value='Southern CA Podiatric Medical Students&#039; Association' >Southern CA Podiatric Medical Students&#039; Association<\/option><option value='Specialties Club-Lebanon' >Specialties Club-Lebanon<\/option><option value='Sports Medicine Club-Lebanon' >Sports Medicine Club-Lebanon<\/option><option value='Sports Vision Club' >Sports Vision Club<\/option><option value='Student American Academy of Osteopathy-Lebanon' >Student American Academy of Osteopathy-Lebanon<\/option><option value='Student American Academy of Osteopathy-Pomona' >Student American Academy of Osteopathy-Pomona<\/option><option value='Student American Osteopathic Academy of Sports Medicine' >Student American Osteopathic Academy of Sports Medicine<\/option><option value='Student American Osteopathic Association of Orthopedics-Lebanon' >Student American Osteopathic Association of Orthopedics-Lebanon<\/option><option value='Student American Veterinary Medical Association' >Student American Veterinary Medical Association<\/option><option value='Student Chapter of the World Aquatic Veterinary Medical Association' >Student Chapter of the World Aquatic Veterinary Medical Association<\/option><option value='Student Interest Group in Neurology' >Student Interest Group in Neurology<\/option><option value='Student Interest Group in Neurology-Lebanon' >Student Interest Group in Neurology-Lebanon<\/option><option value='Student National Dental Association' >Student National Dental Association<\/option><option value='Student National Medical Association' >Student National Medical Association<\/option><option value='Student Osteopathic Internal Medicine Association' >Student Osteopathic Internal Medicine Association<\/option><option value='Student Osteopathic Medical Association-Lebanon' >Student Osteopathic Medical Association-Lebanon<\/option><option value='Student Osteopathic Medical Association-Pomona' >Student Osteopathic Medical Association-Pomona<\/option><option value='Student Osteopathic Surgical Association-Pomona' >Student Osteopathic Surgical Association-Pomona<\/option><option value='Student Veterinary Emergency Critical Care Society' >Student Veterinary Emergency Critical Care Society<\/option><option value='Student Volunteer Optometry Services to Humanity' >Student Volunteer Optometry Services to Humanity<\/option><option value='Students for National Health Program' >Students for National Health Program<\/option><option value='Telemedicine Interest Club' >Telemedicine Interest Club<\/option><option value='Ultrasound Club' >Ultrasound Club<\/option><option value='Ultrasound Club-Lebanon' >Ultrasound Club-Lebanon<\/option><option value='Veterinary Business Management Association' >Veterinary Business Management Association<\/option><option value='Veterinary Diagnostic Imaging Club' >Veterinary Diagnostic Imaging Club<\/option><option value='Veterinary Histology Club' >Veterinary Histology Club<\/option><option value='Veterinary Research Club' >Veterinary Research Club<\/option><option value='Veterinary Surgery Club' >Veterinary Surgery Club<\/option><option value='Vietnamese Student Association' >Vietnamese Student Association<\/option><option value='White Coats for Black Lives - Lebanon' >White Coats for Black Lives - Lebanon<\/option><option value='Wilderness Medicine Club' >Wilderness Medicine Club<\/option><option value='Wilderness Medicine Club-Lebanon' >Wilderness Medicine Club-Lebanon<\/option><option value='Zoological, Exotic Companion, and Wildlife Medicine Society' >Zoological, Exotic Companion, and Wildlife Medicine Society<\/option><option value='' ><\/option><\/select><\/div><\/li><li id=\"field_55_69\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >What is your title with this club?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_55_69'>\n\t\t\t<li class='gchoice gchoice_55_69_0'>\n\t\t\t\t<input name='input_69' type='radio' value='President'  id='choice_55_69_0'    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