Student Cooperative Council, Inc.

2006-2007

Club/Organization Roster

 

Pleas fill out all the relevant information completely and legibly.  If a category does not apply to a particular club/organization, write “N/A” in the blank.

 

 

1.  Complete Club Name_______________________________________________

2.  Local Club Address    _______________________________________________

3.  Local Club Telephone_______________________________________________

4.  Club Advisor             _______________________________________________

5.  President                   _______________________________________________

6.       Address                _______________________________________________

7.       E-mail                  _______________________________________________

8.       Telephone            _______________________________________________

9.  Vice President           _______________________________________________

10.      Address                _______________________________________________

11.       E-mail                  _______________________________________________

12.      Telephone            _______________________________________________

13.  Treasurer                  _______________________________________________

14.      Address                _______________________________________________

15.      E-mail                  _______________________________________________

16.      Telephone            _______________________________________________

17.  Secretary                  _______________________________________________

18.      Address                _______________________________________________

19.      E-mail                  _______________________________________________

20.    Telephone             _______________________________________________

21.  Meeting Day/Time   _______________________________________________

22.  Meeting Location    _______________________________________________

23.  Election Month for Club____________________________________________

24.  Number of Active Members________________________________________

25.  Number of Inactive Members_______________________________________

 

What is the Mission/Purpose of your Club?

____________________________________________________

____________________________________________________

____________________________________________________

____________________________________________________

 

 

 

Date Received: _____/_____/__________

 

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