Club Virtual Re-registration

Virtual Club Re-Registration Form

This form, completed in its entirety, should be submitted to Student Life & Activities by October 1, 2021. Clubs should continue to host meetings at least once a month during the Fall & Spring semesters and at least one representative of your club should plan to attend each virtual monthly Club Leaders Meeting hosted by Student Life & Activities. The schedule of monthly virtual Club Leaders meetings will be published at a later date.

Club/Organization Name*
Executive Officer List*
Executive Title First Name Last Name Student ID Number Email Address

Use this section to list those student-members who have been elected to serve on the club/organization's executive board. Traditional executive roles are: President, Vice President, Treasurer, Secretary, and Parliamentarian. However, clubs are able to create other roles so long as they are outlined in the club's current constitution on file with Student Life.
Executive Title First Name Last Name Student ID Number Email Address
Executive Title First Name Last Name Student ID Number Email Address
Executive Title First Name Last Name Student ID Number Email Address
Executive Title First Name Last Name Student ID Number Email Address
General Member List*
First Name Last Name Student ID Number Email Address

Use this section to list those students who are general members within your club. Students listed in this section do not hold executive positions. Clubs must have a minimum of 10 members (inclusive of executive officers).
First Name Last Name Student ID Number Email Address
First Name Last Name Student ID Number Email Address
First Name Last Name Student ID Number Email Address
First Name Last Name Student ID Number Email Address
First Name Last Name Student ID Number Email Address
First Name Last Name Student ID Number Email Address
First Name Last Name Student ID Number Email Address
First Name Last Name Student ID Number Email Address
First Name Last Name Student ID Number Email Address
Additional Club Members (Upload file)
Max. file size: 50 MB.
If your club has additional members beyond the form's allotment above, please upload the complete membership list here.
Club Meeting Information*
Dates Time Is this meeting virtual or on-campus? Meeting Location (Building/Room or Zoom link)

Use this section to list your club meeting schedule. Be sure to include dates and times that you plan to hold club meetings. Clubs must note if meetings are intended to be in-person/on-campus or virtual. If meeting in-person, clubs are still encouraged to utilize Zoom so those students who remain remote may participate in your organization. If meeting on-campus, clubs must also submit an Online Facilities Request Form to the Scheduling Department to reserve a room. (Please note this is separate from the Virtual Re-Reg.)
Additional Club Meetings
Max. file size: 50 MB.
If your club has additional meetings beyond the form's allotment above, please upload the complete schedule here.
Club Advisor Information*
First Name Last Name Email Address Department

Use this section to list your club's Advisor information. The listed faculty/staff member(s), agree to serve as the advisor to this student organization for this academic year. As the advisor, they agree to be cognizant of all organization activities, be aware of the financial status of the organization, provide continuity to the organization, and periodically affirm that the organization meets specified requirements and adheres to all college regulations, policies and procedures, and local, state and federal laws. Club Advisors can be any regular employee of the College. Please note, those listed in this section will be contacted by Student Life & Activities for verification of Advisor status. Use the "+" to list multiple Advisors.
Additional Club Advisor Information (if applicable)
First Name Last Name Email Address Department
Additional Club Advisor Information (if applicable)
First Name Last Name Email Address Department
Updated Club Constitution
Max. file size: 50 MB.
If your club would like to update their existing club constitution that is currently on file with Student Life & Activities, please upload the new document here. Once submitted, the updated constitution will be forwarded to the Student Life Board Club Advisory Board for review and approval. If you find that during the semester, the club wishes to update the constitution on file, please send the updated document to studentlife@brookdalecc.edu for review and approval.
Statement of Understanding
The Statement of Understanding affirms your club leadership’s intention to follow the guidelines of the College and the Office of Student Life & Activities. College policies and regulations are discussed during monthly club meetings. If you ever have a question please feel free to contact the Office of Student Life & Activities. By submitting this form, the primary executive officers, on behalf of the organization and with its authority, affirm that it is in compliance, and will continue to comply will all College regulations, policies and procedures as well as local, state and federal laws. Executive officers will attend, or assign a designee in their absence, to attend all monthly virtual Club Leaders meetings. In addition, the executive officers take responsibility for ensuring payment of all organization bills and debts. By signing below, the executive officers of the organization accept responsibility for the organization’s account, following all guidelines, as stipulated by the policies and procedures developed by the Student Life Board and the Student Life & Activities Office. Executive officers will abide by all college, state and federal laws and regulations regarding the use of college collected fees.
Submitting Executive Officer Information*
First Name Last Name Club Role Student ID Number Email Address

By submitting this form, you agree to the above Statement of Understanding and verify that all included student information is factual.
Email
This field is for validation purposes and should be left unchanged.

Executive Title	First Name	Last Name	Student ID Number	Email Address

Executive Title	First Name	Last Name	Student ID Number	Email Address

Executive Title	First Name	Last Name	Student ID Number	Email Address

Executive Title	First Name	Last Name	Student ID Number	Email Address

Virtual Club Re-Registration Form

Statement of Understanding

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