College of the Canyons
Office of Student Development
Club and Organization Chartering Form

Club/Organization Name*:  
Brief Description of Club/Organization *(This description is used in Student Development and ASG publications and for release to the public. It must be completed each time you submit this form):
Club Website Address*:  
When and where does your organization meet*?
Day*:  Start Time*:    End Time*:   Campus Room*:
Day:   Start Time:      End Time:    Campus Room:  
 
Officers (All officers must be C.O.C. Students):
  President / Chair* Vice President Treasurer ICC Representative
Name:
Address:
City:
State:
Zip
Phone:
Email:
         
Only officers listed on this sheet will have the authority to represent the club in dealings with the College, community, or Assocated Student Government.
Club Advisor(s)*: (at least one)
Name Department Phone Email
1.
2.
3.
4.
5.
 
By checking this box I hereby certify that the members of (Organization Name) enjoy local autonomy in the selection of new member without discriminate on the basis of race, sex, sexual orientation, religion, national origin or disability. I also certify that my club/organization has read the current Club and Organization Responsibilities and subscribe to them in principle.
 

Please click on the "Submit " button.