Sign Up to be a Campus Organizer

First Name:		Last Name:
Nickname:		IM:
School Phone:		Cell Phone:
Home Phone:		E-mail (personal):
Paid Sierra Club Member?	Yes No	E-mail (school):
Member N°:		Gender:	Female Male Other
		Graduation:
SCHOOL & GROUP
School:		Or if school not in list:
Group:		Or if group not in list:
Group Involvement:	Individual Group leader Group member Advisor	Student Type:	Highschool Undergraduate Graduate Home school Community college
ADDRESS
School Address:		School City:
School State:		School Zip:

Home Address:		Home City:
Home State:		Home Zip:
CAMPAIGN INFORMATION
Contact info for your faculty advisor (if you have one): We ask for this information so as to have a permanent contact at SSC affiliated schools so that future students can be notified of our campaign and training opportunities after you graduate.
First Name:		Last Name:
Phone:		E-mail (personal):
Group History: Please discuss your group's organizational history. How long as it been active? How many active members do you have? Do you have a faculty advisor involved in your group? How often do you meet? Please discuss your group's past focus. What kinds of activities have you participated in? What activities have you organized recently? What campaigns have you run the past year? What role did you personally play in campaigns?

Current Plans: Please discuss your group's current focus. Are you running a campaign currently? If so, what is it? What has your group done in the past semester related to the campaign? What was your role in these activities?

Organizing Experience: Remember, experience is not required for this position. Please list your activism/organizing experience (be specific; include lengths of time, responsibilities, and achievements)

Other: Please use this space to include other information not mentioned elsewhere in this application.