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Reg_FormS :


 
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Title


Registration Type


Semester


Date Received

 

New Club Name


For NEW CLUBS ONLY, Enter the club or organization's name

Continuing Club


Meeting Time


Club's Meeting Day/Time & Location

Club Website

Type the Web address: (Click here to test)  

Type the description: 

Club Email


Elections

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.

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


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.
Vice-President's Info

First Name


Last Name


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


Treasurer's Info

First Name


Last Name


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#


Email


Secretary's Info

First Name


Last Name


SS#


Street Address


City


State


Zip


Ph#


Email


Advisor's Info

Adv First Name


Adv Last Name


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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Kingsborough Community College
2001 Oriental Boulevard, Brooklyn, NY 11235-2398
Kingsborough is CUNY