Title |
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Registration Type |
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Semester |
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Date Received |
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New Club Name |
For NEW CLUBS ONLY, Enter the club or organization's name |
Continuing Club |
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Meeting Time |
Club's Meeting Day/Time & Location |
Club Website |
Type the Web address: (Click here to test)
Type the description:
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Club Email |
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Elections |
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Officers Elected? | In order to charter a student club and maintain recognition at Kingsborough Community College, your group must elect from its membership the following officer positions: President, Vice-President, Treasurer, and Secretary. An officer must have a 2.0 minimum GPA and the President may not serve as an officer of student government. Club must also obtain a faculty or full-time staff member to serve as club advisor. Minutes showing the election results must be turned in with this form.
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| President's Info |
First Name |
President's First Name |
Last Name |
President's Last Name |
SS# |
Last 4 digits |
Street Address |
President's address-street# |
City |
President's address-city |
State |
President's address-state |
Zip |
President's address-zip code |
Ph# |
President's preferred ph#
format: xxx-xxx-xxxx |
Email |
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Authorization | I authorize the Office of Student Life to share my contact information and my email with other club presidents and KCC students interested in joining my club.
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| Vice-President's Info |
First Name |
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Last Name |
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SS# |
Last 4 digits |
Street |
VP's address-street# |
City |
VP's address-city |
State |
VP's address-state |
Zip |
VP's address-zip code |
Ph# |
VP's preferred phone# |
Email |
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| Treasurer's Info |
First Name |
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Last Name |
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SS# |
Last 4 digits |
Street |
Treasurer's address-street# |
City |
Treasurer's address-city |
State |
Treasurer's address-state |
Zip |
Treasurer's address-zip code |
Ph# |
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Email |
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| Secretary's Info |
First Name |
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Last Name |
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SS# |
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Street Address |
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City |
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State |
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Zip |
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Ph# |
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Email |
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| Advisor's Info |
Adv First Name |
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Adv Last Name |
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Dept |
Club advisor's department/office |
Mail Code |
Club advisor's departmental mail code |
Room# |
Advisor's room # |
KCC Ext |
KCC Phone Extension # |
Previous Service? | Have you served as advisor to this club in the past? |
Years Served |
If Yes, for how many years? |
Guidelines | I have received the faculty advisor guidelines, and I have agreed to be the club/organizations's advisor |
Rules |
It is the responsibility of all officers to know the rules and regulations for maintaining recognition as a student club as per the KCC Officer's Manual. Failure to abide by these policies could result in suspension of your club and college disciplinary action.
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Attachments
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