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: _____/_____/__________