Campus Life
Student Club
Membership Report
Club Name
Secretary Date
Academic Year
Name ID
Name ID
Name ID
Name ID
Name ID
ID
ID
ID
Name
Name
Name
ID
ID
ID
ID
ID
ID
ID
ID
Name
Name
Name
Name
Name
Name
Name
Name
IDName
IDName
IDName
IDName
IDName Position
Position
Position
Position
Position
PositionIDName
PositionIDName
PositionIDName
Complete and return to:
Yuba College Campus Life
2088 North Beale Road
Marysville CA 95901
office: 530-741-6992
fax: 530-749-3884
In order to function as a valid club, 2-Year Chartered Clubs in their Second Year must submit
this report, accompanied by club minutes approving officers, at the start of the academic year.
OFFICERS
MEMBERS
E-mail
E-mail
E-mail
E-mail
E-mail
E-mail
E-mail
E-mail
ADVISOR
Print Form
Submit by E-mail