Fillable COBRA Application Revised1

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COBRA Application Revised1

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U.S.A. forms for Caldwell Community College and Technical Institute

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Appendix A
(Application, Media Form, Other Approved Activity Form)
C.O.B.R.A. Application Form
This form must be submitted before activities will count toward C.O.B.R.A. recognition.
DATE:
Club Name
Club’s Senator’s Name
Senator Student ID # Phone number
E-mail address
Club Officer Information:
Position Name E-mail address& Phone #
President
Vice President
Secretary
Treasurer
Club Advisor Signature Club President’s Signature
*Return all forms to Kim Roper, Director of Student Activities in E-121.
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COBRA Application Revised1

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Completed 3 November 2019

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