ROSTER
Club/Organization_____________________________________________________________________
Fall Semester ________ Spring Semester ________ School Year _______
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Name Student Number E-Mail Address
1. _________________________________________________________________________________
2. _________________________________________________________________________________
3. _________________________________________________________________________________
4. _________________________________________________________________________________
5. _________________________________________________________________________________
6. _________________________________________________________________________________
7. _________________________________________________________________________________
8. _________________________________________________________________________________
9. _________________________________________________________________________________
10. _________________________________________________________________________________________
Please Print Clearly:
President _____________________________________ Phone # _____________ SN: _____________
V. Pres. ______________________________________ Phone # _____________ SN: _____________
Secretary _____________________________________ Phone # _____________ SN: _____________
Treasurer _____________________________________ Phone # _____________ SN: _____________
Advisors Please Print & Sign your Name & Extension:
Print__________________________________ Sign ______________________________ Ext.________
Print__________________________________ Sign ______________________________ Ext.________
Meetings:
_________________ _________________ _________________
Day Time Room
IMPORTANT**** STUDENTS ON ROSTER MUST HAVE:
2.0 GPA or Better
1 Unit or more - 5 units to be an Officer
At least 10 Members on Roster
Member Must Have CCID with Current Sticker
(To be an official club this form must be turned into student activities before the fifth (5) week of
class in both the Fall and Spring Semester)