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Club Policy - Change of Advisor and Club Name Request Form


Change of Advisor & Club Name Request Form

All club advisor changes must be approved by the Clinton Community College Dean of  Student Affairs. Please complete the form below:


Club Name

Reason for Club Advisor Change

Reason for Club Name Change

Change From:

Change To:

Outgoing Club

Advisor Name

(please print)

Incoming Club

Advisor Name

(please print)

Expected Last Date as Club Advisor

Proposed Date as Club Advisor

Office Location

Office Location

Phone Extension

Phone Extension

Signature

Signature

Date

Date


Change Approved:


_________________________________________________________________________

Dean of Student Affairs                 Date


OFFICE USE ONLY:

__________ Notified: Former Advisor

__________ Notified: New Club Advisor

__________ Notified: Student Leadership Advisor

__________ Send: Club Information to New Advisor

__________ Changed: CCC Club/Organization Web Page