Fall 2015 - Club Participation Request Form (Copy)

Fall 2015 - Club Participation Request Form (Copy)
All Students must fill this form out each semester in order to participate in any actively chartered club at RHC as well as the ASRHC.
Students must be logged into their own OrgSync account in order for this submission to be valid. OrgSync accounts are free, and each student should
have their own account. Students will only have to fill out one form overall, not one form per club.
For more information, please see a staff member in the Student Life & Leadership Department SU-201.
Student Information
Contact Information [Required]
Valid input:
- must be 10-15 digits long and may include only numbers,
- [email protected]
hyphens, and spaces.
First name:
Middle initial:
Last name:
Email address:
Phone number:
Address:
City:
State:
ZIP:
Rio Hondo Student ID# [Required]
Valid input:
- Numeric - ex: 1111
CLICK HERE for the BP 5500 - Standards of Conduct
CLICK HERE for the AP 5500 - Standards of Conduct
CLICK HERE for the AP5520 - Student Conduct Procedures
BP5500 - Standards of Conduct [Required]
I affirm that I have read, understand, and agree to abide by the terms outlined in the Standards of Conduct BP5500 and AP5500 as well as Student Conduct Procedures
AP5520.
Valid input:
- Select only one choice.
[ ] I Agree
CLICK HERE for the BP5430 - Clubs Regulations
CLICK HERE for the AP5430 - Club Regulations
BP5430 - Club Regulations [Required]
I affirm that I have read, understand, and agree to abide by the terms outlined in the Club Regulations BP5430 and AP5430.
Valid input:
- Select only one choice.
[ ] I Agree
CLICK HERE for the BP4250 - Probation, Dismissal, Readmission
CLICK HERE for the AP4250 - Probation, Dismissal, Readmission
BP4250 - Probation, Dismissal, Readmission [Required]
I affirm that I have read, understand, and agree to abide by the terms outlined in the Probation, Dismissal, Readmission BP4250 and AP4250.
Valid input:
- Select only one choice.
[ ] I Agree
I am requesting participation for the following student groups
Please only request participation for groups in which you plan to have active participation with.
Page 1 of 2 · Fall 2015 - Club Participation Request Form (Copy)
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] Active Minds
] ASRHC (Elected/Appointed Officers Only)
] Alpha Gamma Sigma (AGS)
] Association of Latino American Students (A.L.A.S.)
] Art Guild
] Artists Creating Theatre (ACT)
] Child Development Club
] Catholic Newman
] Computer Science Club
] The Food Club
] Chinese Club
] Hispanic Scholarship Fund RHC Chapter (HSF)
] Creative Writing Club
] French Club of RHC
] Green Technology & Sustainability Club (Green Tech)
] Leaders for Change
] Nursing Club
] One in Christ Club
] Reel Fiction Film Club
] PALs (Peer Advisory Leaders)
] Phi Beta Lambda (PBL)
] Take a Hike Club
] Puente Club
] Pre-Law Society
] Science Club
] Spectrum
] Students Without Borders (SWB)
] Veteran's Club
] OTHER - New club, or reinstatement of former club
Enter Club Name(s) if you selected OTHER above
Please separate Club Names by writing one per line
Page 2 of 2 · Fall 2015 - Club Participation Request Form (Copy)