Herman Ostrow School of Dentistry of
USC
menu
About
Maps and Directions
Our People
Faculty Directory
Work at USC
Strategic Vision
Accreditation
Contact Us
Alumni & Friends
Honor Roll
Hall of Fame
TroDent Alumni Magazine
Give
Stay Connected
Ostrow Connect
Alumni Spotlight Series: 2020 Reunions
Academic Documents for Alumni
Externships
Contact Us
News & Events
Recent News
News Archive
Upcoming Events
Events Archive
Community
Oral Health Clinics
Mobile Dental Clinics
Educational Programs
Health Fairs and Screenings
Initiatives
Affiliations
Online Programs
Give
Intranet
Search
menu
About
Maps and Directions
Our People
Faculty Directory
Work at USC
Strategic Vision
Accreditation
Contact Us
News & Events
Recent News
News Archive
Upcoming Events
Events Archive
Educational Programs
Doctor of Dental Surgery
Advanced Standing Program For International Dentists (DDS)
Master of Science in Biomaterials and Digital Dentistry
Master of Science in Biomedical Implants And Tissue Engineering
Craniofacial Biology Phd Program
Post Graduate Education Certificate Programs
2021 Virtual Dental Explorers Program
Academic Calendar
Admission
Doctor of Dental Surgery
Advanced Standing Program for International Dentists DDS
Master of Science in Biomaterials and Digital Dentistry
Master of Science in Biomedical Implants and Tissue Engineering
Craniofacial Biology PhD Program
Post Graduate Education Certificate Programs
Information Sessions
Paying for Dental School
Learning Objectives
Community
Oral Health Clinics
Mobile Dental Clinics
Educational Programs
Health Fairs and Screenings
Initiatives
Affiliations
Research
Research Resources
Student Research
Research Faculty
Contact Us
Wilson Dental Library
Center for Craniofacial Molecular Biology
Alumni & Friends
Honor Roll
Hall of Fame
TroDent Alumni Magazine
Give
Career Connections
Stay Connected
Contact Us
Patient Care
Urgent Care
New Student-Clinic Patients
Dental Care Services
Paying for Dental Care
Patient Experience Survey
Contact Information and Clinic Hours
Patient Privacy, Rights and Responsibilities
Online Programs
Intranet
Give
Search
Admission
Doctor of Dental Surgery
Advanced Standing Program for International Dentist (DDS)
Master of Science in Biomaterials and Digital Dentistry
Master of Science in Biomedical Implants and Tissue Engineering
Craniofacial Biology PhD Program
Post-Graduate Education Certificate Programs
Online Programs
Admission Events
Take a Virtual Tour
Paying for Dental School
Learning Objectives
Educational Programs
Doctor of Dental Surgery
Advanced Standing Program For International Students (DDS)
Master of Science in Biomaterials and Digital Dentistry
Master of Science in Biomedical Implants and Tissue Engineering
Craniofacial Biology Phd Program
Post-Graduate Education Certificate Programs
Online Programs
Dental Explorers
Academic Calendar
Patient Care
Urgent Care
New Student-Clinic Patients
Dental Care Services
Paying for Dental Care
Patient Experience Survey
Contact Information and Clinic Hours
Patient Privacy, Rights and Responsibilities
Dental Faculty Practice
Research
Research Resources
Student Research
Research Faculty
Contact Us
Wilson Dental Library
Center for Craniofacial Molecular Biology
Search:
We Are Accepting New Patients
Coronavirus (Covid-19) Updates
Student Club Activity Request Form
Register your student activity club by filling out the form below.
Student Club Activity Request Form
Club Name
*
Contact Person Name
*
First
Last
Contact Person Position
Contact Person Email
*
Enter Email
Confirm Email
Contact Person Phone Number
Activity Name
*
Activity Type
*
Event/Meeting
Social
Fundraiser
Other
Activity Date
*
Date Format: MM slash DD slash YYYY
Activity Start Time
:
HH
MM
AM
PM
Location
*
Number of Participants
*
Activity Purpose
*
Will There Be a Guest Speaker?
*
Yes
No
Guest Speaker Name
Guest Speaker Affiliation
Is Guest Speaker Full-Time Faculty?
Yes
No
Is the Event a Fundraiser?
*
Yes
No
What will be sold?
*
Where Will Funds Be Deposited?
*
Would You Like Your Event Publicized on East Lobby Monitor?
Yes
No
Please Upload Your Event Flyer or We Can Create a Slide for You
Faculty Adviser Name
*
First
Last
Faculty Adviser Email
*
Enter Email
Confirm Email