CSM Club Information Form

CSM Club Information Form

Please complete this form to register your club for the current semester. When submitted, requests for approval will be sent to the following individuals (in the following order):

Club President
Club Treasurer
Club Advisor
Student Life and Leadership Manager

When your club is approved by the Center for Student Life, you will receive a separate confirmation email.

If you have any questions, please contact the Center for Student Life at csmstudentlife@smccd.edu, (650) 574-6141, or by visiting us in Building 17, Room 112.

Club Information

Club Name*

Is this a new or returning club?*

New Club

Returning Club (was active last semester not including summer)

Club Description*

Semester/Year*

Select

Club Meeting Day*

Select

Club Meeting Start Time*

Club Meeting End Time*

Meeting Frequency*

E.g., weekly, every other week, 1st and 3rd, 2nd and 4th, etc. Please note that clubs must meet at least twice per month.

Requested Meeting Location*

Please list up to three (3) on-campus locations that you would like to meet. The Center for Student Life will check on availability in the order in which they are listed. No reservation is considered official until separate written confirmation is provided by the Center for Student Life.

Officers

Club President Name*

Club President Student ID*

Club President Email*

Club Vice President Name*

Club Vice President Student ID*

Club Vice President Email

Club Treasurer Name*

Club Treasurer Student ID*

Club Treasurer Email*

Primary ICC Rep Name*

Primary ICC Rep Student ID*

Primary ICC Rep Email*

Alternate ICC Rep Name

Alternate ICC Rep Student ID

Alternate ICC Rep Email

Advisor(s)

Primary Advisor Name*

Primary Advisor Email*

Does your group have any additional advisors?

Yes

If yes, please list their name(s) and email address(es) below.

Agreement and Submission

By submitting this form, I understand and agree that the above information is correct and true to the best of my knowledge.*

Form Submitted By*

Submitter's Email Address*

Send me a copy of my responses

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