Skagit Valley College

Student Club/Program Roster Form

The following individual is the authorized representative of this organization and will serve as its primary contact. Rosters are due on the second Friday of each quarter (except summer quarter). S&A funds will be frozen until a roster has been submitted to Student Life.

Main Contact Information

Organization Information



Website (if applicable)
Regular Meeting Times and Locations
Staff/Faculty Advisor
All Clubs/Programs must have at least one college staff/faculty member serve as an advisor (maximum total of four).
Name Email BLDG/Room Phone Number
Executive Board
Please list all of your executive board members. Type N/A if position is not applicable to your organization.
Name Email Position Phone Number Year in College

Club/Program Mission Statement