New Officers/Representation Form
Student Life Mission Statement: Serve as a resource for leaders and members of Student Clubs and Organizations.• Incorporate diverse perspectives through program planning, implementation and assessment.• Celebrate achievement gained as a result of student leadership.• Organize/announce programs that encourage student leadership development.• Support the efforts of Student Clubs and Organization Advisors.
Officer /Representative Agreement
We, the officers/representatives of __ _, certify that: Club/Organization Name• We are aware that all Student Clubs/Organizations are responsible for reading and abiding by policies, regulations and other guidelines set forth by Lone Star College - Kingwood and the Lone Star College System.• We are currently enrolled students at Lone Star College-Kingwood.• Lone Star College-Kingwood only allows club/organization members to participate who are current students or Alumni of Lone Star College-Kingwood.• We will act as the liaison between the above listed club/organization and Student Activities.• Although we have freedom of choice in the selection of members, we will not discriminate on the basis of race, color, gender, sexual orientation, religion, disability, age, veteran status, national origin, or ethnicity.• Hazing is a crime under the Penal Code of the State of Texas, and we will not engage in hazing practices. Our signatures signify that we have read and understand the agreement above. A minimum of 2 officer/representative signatures are required to process this form.
Please Fill This out online or by printing and Return to Student Life in SCC building
Signature
Printed Officer1/Representative 1 name:
Signature
Printed Officer2/Representative 2 name:
Signature
Printed Officer3/Representative 3 name:
Signature
Printed Officer4/Representative 4 name:
Club/Organization name:
Officer 1/Representative Information:
First Name
Last Name
Student ID #:
LSC email address:
Phone Number:
Position:
Officer2/ Representative Information
First Name
Last Name
Student ID #:
LSC email address:
Phone number:
Position:
Officer3/Representation Information:
First Name
Last Name
Student ID #:
LSC Email address:
Phone number:
Position:
Officer4/Representative Information:
First Name
Last Name
Student ID#:
LSC email address:
Phone number:
Position:
STUDENT LIFE OFFICE USE ONLY---DATE RECEIVED:
Submit
Submit
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