SRJC Club Activation Form

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FOR OFFICE USE ONLY

NEWSLETTER UPDATED

All contacts added

ADVISOR CHECK

Is district staff Wants to be advisor

COUNCIL APPROVAL DATE

What date did the club council approve this club.

INFORMATION UPDATED

Club Website SRJC App

CLUB ACTIVATION FORM

This is the Club Activation Form. Clubs are student-led organizations and this form is for student leaders to fill out.
Learn more about starting a club on our website

TYPE OF CLUB*

CLUB SPORTS CLUB

CAMPUS*

SANTA ROSA PETALUMA

SEMESTER*

FALL SPRING / SUMMER

YEAR*

CLUB INFORMATION

NAME OF CLUB*

UPLOAD CLUB LOGO

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CLUB DESCRIPTION*

For clubs seeking reactivation that wish to use their current description, type "Use Current Description"
Link to current club descriptions https://studentlife.santarosa.edu/clubs

WILL THIS CLUB ADOPT THE "DEFAULT" PROVISIONAL CLUB CONSTITUTION?*

Yes No, we have our own constitution/bylaws

Found in the ICC Constitution & Bylaws https://studentlife.santarosa.edu/icc

UPLOAD CLUB CONSTITUTION*

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CLUB MEETING TIMES

DAY OF MEETING*

Monday Tuesday Wednesday Thursday Friday Saturday Sunday TBD - To Be Determined

Other:

TIME OF MEETING(s)

BUILDING/LOCATION*

Type TBD if location is "To Be Determined"

ROOM NUMBER

CONTACT INFORMATION

The contact information shared below is for the SLEE office to contact appropriate individuals regarding club business as well as to help other students learn more about and join your club.

Club Emails (when applicable), Club Advisor contact information, and Club Coach contact information will be posted on the website and in the app.
Student Club Officer names will be posted on the website and in the app. Student Club Officer email and phone numbers will only be listed if given permission (see below)

CLUB EMAIL*

EXAMPLE: "srjc.club-name@mail.com", this may also be a personal E-mail. NOTE If the club does not have a club email please type "None"

CLUB PRESIDENT & CLUB COUNCIL REPRESENTATIVE

THE CLUB PRESIDENT IS A STUDENT POSITION
The President is responsible for attending regular Club Council meetings throughout the semester.

FOR SANTA ROSA: Inter-Club Council (ICC) meetings are held on Wednesdays at 1:30 pm in the
Center for Student Leadership located on the 1st Floor of Bertolini, room #4643.
FOR PETALUMA: Petaluma Council (PC) meetings are held on Wednesdays at 3:00 pm. in the
Petaluma Welcome & Connect Center located in Mike Smith Hall, room #102

If the President is unable to, indicate that in the question below and a Vice President will need to serve in their place.

NAME OF CLUB PRESIDENT*

PRESIDENT'S EMAIL*

PRESIDENT'S PHONE NUMBER*

PRESIDENT'S CONTACT INFORMATION PERMISSION*

SHARE My Phone Number SHARE My Email DO NOT SHARE My Contact Information

Select what information you would like to share on the website and in the app

CAN THE CLUB PRESIDENT ATTEND CLUB COUNCIL MEETINGS?*

YES NO

CLUB VICE PRESIDENT

THE CLUB VICE PRESIDENT IS A STUDENT POSITION
The Club Vice President attends Club Council Meetings in the case that a Club President is unable to.

NAME OF CLUB VICE PRESIDENT*

VICE PRESIDENT'S EMAIL*

VICE PRESIDENT'S PHONE NUMBER*

VICE PRESIDENT'S CONTACT INFORMATION PERMISSION*

SHARE My Phone Number SHARE My Email DO NOT SHARE My Contact Information

Select what information you would like to share on the website and in the app

CLUB TREASURER

THE CLUB TREASURER IS A STUDENT POSITION

NAME OF CLUB TREASURER*

TREASURER'S EMAIL*

TREASURER'S PHONE NUMBER*

TREASURER'S CONTACT INFORMATION PERMISSION*

SHARE My Phone Number SHARE My Email DO NOT SHARE My Contact Information

Select what information you would like to share on the website and in the app

3RD CLUB MEMBER

THE 3RD CLUB MEMBER IS A STUDENT POSITION
Per the Inter-Club Council Constitution, all clubs are required to have a minimum of 3 members.

NAME OF CLUB'S 3RD MEMBER*

3RD MEMBER'S EMAIL*

CLUB ADVISOR

THE CLUB ADVISOR IS A FACULTY OR STAFF POSITION
NOTE: Faculty and Staff contact information can be found in the employee directory

NAME OF CLUB ADVISOR*

ADVISOR'S EMAIL*

ADVISOR'S PHONE NUMBER*

CLUB COACH

THE CLUB COACH IS A FACULTY OR STAFF POSITION
NOTE SPRING 2024: Our office is currently working with the Kinesiology, Athletics, and Dance (KAD) Department to better support our sports clubs. If your club does not have a Coach please type in "TBD" (for "To Be Determined") for the coach information fields below

NAME OF CLUB COACH*

COACH'S EMAIL*

COACH'S PHONE NUMBER*