Request For Chartered Status

(Must be resubmitted each semester) Policy directed by Associated Students Government Rules Committee.

Club Name
Semester
List of Officers
President Name List of Officers
President Name First Last
President
Student ID #
President
IVC Student Email
Vice-President
Name Vice-President
Name First Last
Vice-President
Student ID #
Vice-President
IVC Student Email
Secretary
Name Secretary
Name First Last
Secretary
Student ID #
Secretary
IVC Student Email
We have reviewed the Campus Organization Act and understand the requirements of chartered status:
Faculty Advisor: We have reviewed the Campus Organization Act and understand the requirements of chartered status:
Faculty Advisor: First Last
Faculty Advisor
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
List of club members

(minimum of eight (8) members who are students)
(1) Student Name
Student ID #
IVC Student Email
(2) Student Name
Student ID #
IVC Student Email
(3) Student Name
Student ID #
IVC Student Email
(4) Student Name
Student ID #
IVC Student Email
(5) Student Name
Student ID #
IVC Student Email
(6) Student Name
Student ID #
IVC Student Email
(7) Student Name
Student ID #
IVC Student Email
(8) Student Name
Student ID #
IVC Student Email
If you have more than 8 students please upload the remaining students and their g numbers here.

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