Club Activity Point Form

The Rose State Campus will be closed 1/20/2020 for Martin Luther King Jr. Day. Offices will resume their regular hours on 1/21/2020.

Spring Enrollment Hours: Jan 13-15: 8am-7pm, Jan 16: 10am-7pm, Jan 17: 8am-6pm, Jan 18: 9am-2pm, Jan 20: Closed, Jan 21-23: 8am-7pm, Jan 24: 8am-6pm

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Club Points Form

Club Name *

Date of Activity *

Number of Points Claimed *

Club Member Submitting form * Enter first and last name, please.

Phone Number 123-456-7890

Club Member Submitting form's email address *

Additional Information * Please enter specifics regarding this activity, including names of club members attending, name of workshop, names of guest speakers, etc. This information is required to obtain credit for the activity--if not applicable, please enter "N/A".

File upload field Please upload copies of backup documentation, if possible. (Deposit slips, programs, ticket stubs). If you are unable to upload, please turn hard copies in to Student Activities.

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