Club Officer and Member Roster

A list of your club officers is required as stated in the ICC Constitution’s By-laws, Article VIII, Section 1: “By the fifth week of the semester, all clubs must submit a list of club officers and a club roster.” If your club does not complete this form by the fifth week of the semester, your club will be deactivated. If you have any questions or concerns, please feel free to stop by or call the Office of Student Life and Leadership Development at (626) 852-6444.

Club Name:

Semester/Year

President:

President ID#:

President Phone Number:

President Student Email:

Vice President:

Vice President ID#:

Vice President Phone Number:

Vice President Student Email:

Secretary:

Secretary ID #:

Secretary Phone Number:

Secretary Student Email:

Treasurer:

Treasurer ID#:

Treasurer Phone Number:

Treasurer Student Email:

ICC Representative:

ICC Representative ID#:

ICC Representative Phone Number:

ICC Representative Student Email:

ICC Alternate:

ICC Alternate ID#:

ICC Alternate Phone Number:

ICC Alternate Student Email:

Other Officer/Title:

Officer ID#:

Officer Phone Number:

Officer Student Email:

Other Officer/Title:

Officer ID#:

Officer Phone Number:

Officer Student Email:

Member Roster (File Upload):

Please upload a roster of at least 10 members of your proposed club. Members must be currently enrolled at Citrus College. The roster MUST include the full name of each student and their student ID number.

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