All Forms are PDF Fillable
You can also get a hard copy from the Student Life Office (College Center 206)
Online Submission Instructions
- You can only use Mozilla Firefox or Google Chrome
- Click on the FORM in the BLUE link and download the fillable PDF file
- Save the form to your computer or flash drive by clicking “Save As”
- Type in the form click “Save As”
- Attach the form to an email and send it to email@example.com
- You can also print a copy and bring it to the Office of Student Life
Club & Organization Request Forms
Paperwork Completion & Transmittal Process
This form will let you know the Paperwork Completion & Transmittal Process for all requests.
Balloon Order Form
To order balloons from bookstore for events
Club Charter Packet
If you have a passion, and want to create a place for likeminded students to come together to socialize, share ideas, and work toward common goals, then you might consider starting a club at LCCC. This packet contains step-by-step information on how to do so, as well as necessary documents and supplementary information. Before you go any further however, please inquire at the Student Life desk for a list of current LCCC clubs, as there may already be one similar to the club you wish to start.
To maintain active status, the Office of Student Life requires Club Officers to review their Constitution at the start of each Fall Semester, enact changes as necessary following the process for making amendments contained within, and submit a copy accompanied by appropriate documentation as well as this form.
Furthermore, any time there are revisions made to a club Constitution, it must be submitted with documentation of the amendment meeting (including meeting minutes and a sign-in sheet) and must be approved by the Manager of the Office of Student Life before taking effect.
Club Email Account Guidelines & Request
The purpose for the email is to have an official means for communication within LCCC and with outside entities. Requests will be approved by the Manager of Student Life and then will be submitted to LCCC’s IS&S Department by the Office of Student Life. The club email accounts and names will be created by the IS&S Department and at their discretion
Club Incentive Program Packet
The purpose of the Student Club Incentive Program is to provide a way for student clubs to obtain additional funds by actively participating in community based activities and through fundraising. Student clubs are only eligible to apply for these funds if they have established an active status at the beginning of the Fall Semester. There 3 Tier Funds: TIER I-Club Promotion & Startup Funds, TIER II- Fundraising, TIER III- Leadership & Enhancement
Tier I funds are subsidy funds available for the purpose of launching a new club, and for the marketing and recruitment of both newly established clubs and existing clubs. No club may receive both Start-Up and Welcome Week funds in the same semester.
The Tier II Incentive Program allows active clubs the ability to increase their funding by hosting a fundraiser both on and off campus. As with all club events, an approved Event Request Form is required.
The Tier III Incentive Program allows active clubs the ability to increase their funding by hosting or participating in community-based events both on and off campus. As with all club events, an approved Event Request Form is required; events at which funds are raised are not applicable
Club Reactivation Packet
From semester to semester, some student clubs become inactive, either due to lack of student interest or failure to maintain active status. Any current LCCC student may reactivate such a club by completing the Club Reactivation Process. This packet contains step-by-step information on this process, including all necessary documents and supplementary information.
Cubicle Usage Guidelines and Agreement
The purpose of this form is to request a club cubicle club. This form must be filled out each fall semester and submitted with a current Slate of Officers. Cubicle space will be assigned to those clubs who are conducting regular meetings and events/activities on campus. If there are more clubs than cubicle space available, cubicle space will be determined based on the number of meetings and or events/activities held on campus during the current academic year; all meetings, events/activities must be submitted through the Office of Student Life in order to be counted.
Event Planning Checklist
The purpose of this Checklist is to be a guide for organization to think through the planning deadlines and responsibilities.
Event Pre-Planning Form
The purpose of the Pre-Planning Guide is to assist clubs and organizations in the creative brainstorming process and to begin to solidify information necessary for success.
Event Report Out Form
The Event Report Out is an evaluation form that will help the clubs in evaluating each event/activity. This form will evaluate the attendance, budget, and logistics. This is an important final step for your event and will help with future planning, changes and improvements. As soon as possible after your event occurs, it is very beneficial to sit down with everyone who was involved with the event to evaluate the execution of the plans. This form is required for Tier II and III funding.
Event Request Form
The purpose of this form is to get prior approval of the event from both the advisor and Student Life Manager, to ask for all of arrangements needed for the event and to have Student Life staff reserve them: room, equipment, food, etc.
- For a club to have an event, they must complete the Event Request Form
- It is very important that this form is completed in as much detail as possible for Student Life office staff to properly secure all requested arrangements
In accordance with LCCC guidelines, Conferencing & Dining Services is contracted to supply all food on the LCCC campus. They ensure proper health code regulations are followed with all food on campus. When a club/organization would like to bring food on campus which is not ordered through Conferencing & Dining Services, a Food Waiver must be submitted to them prior; listing all food items requested to be brought on campus and must be approved by the Manager/Director Conferencing & Dining Services. They may offer an option providing comparable food items listed on the food waiver.
- Food Waiver Request must be completed and submitted with your Purchase Request Form at least (3) weeks prior to your event.
HPER Facility Request Form
The Health, Physical Education & Recreation Program facilities may be used for sports-related activities. The availability of these facilities varies each term depending upon the schedule of HPER Program classes.
Media Release Form
To get permission to photography, record, and use in print for events/activities at Lorain County Community College.
Mileage Request Form
Movie & Television Copyright Guideline
The purpose of this statement is to educate and outline options for Lorain County Community College (LCCC) students, clubs and organizations regarding the use of movies and televisions in programming events. Any showing of movies or television programs at LCCC must abide by copyright laws.
OPERS – Independent Contractor Acknowledgement
This form is to be completed if you are an individual who begins providing personal services to a public employer on or after Jan. 7, 2013 but are not considered by the public employer to be a public employee and will not have contributions made to OPERS. This form must be completed not later than 30 days after you begin providing personal services to the public employer.
Publicity Materials Request Form
The purpose of this form is to get prior approval from both the advisor and Student Life Manager, for ALL publicity requests (flyers) for an event/activity/meeting.
- All publicity request (flyers) for upcoming events must be approved by the Office of Student Life
- To advertise for an event, the club must complete a Publicity Request Form and attach a hardcopy and electronic copy (acceptable formats: PPT, Word, Publisher, PDF) of their flyer for approval. The electronic copy is needed for the LCCC flat screens, student newsletter, etc. Send electronic copy to firstname.lastname@example.org
- If requesting flyers be posted on the campus bulletin boards, 39 copies are needed
- The club can supply or request copies using the student club copy code to make the copies once approved. The cost of the copies will be a charge backed against their student club account.
Purchase Request Form
The purpose of this form is to get prior approval from both the advisor and Student Life Manager, for ALL purchases you need to make for an event/activity/meeting.
- ALL purchases must be approved by the Office of Student Life Manager PRIOR to making the purchase. If purchases are made prior to approval purchases may be denied.
- The purchases made will be deducted from the student club account
- Clubs can request to make purchases by reserving the LCCC credit cards for Sam’s Club and/or Wal-Mart
The purpose of this from is to maintain administrative records on current club officers. This information is used to verify club officer requirements, and to ensure that those submitting paperwork for the club have a leadership position in that club. Slate of Officers forms WILL NOT BE ACCEPTED unless signed by the advisor and club president.
All student clubs are required to submit an updated Slate of Officers at the beginning of each semester, and any time there is a change in the leadership. Accompanying this form should be documentation of the election meeting, including minutes and a sign-in sheet. Clubs are encouraged to meet and elect officers as early as possible during the Fall or Spring Semester following the election process detailed in their Constitution.
W-9 Request for Taxpayer Identification Number and Certification
An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return.