STUDENT ACTIVITIES AND ADVOCACY OFFICE 
                                                    ROOM 247, STUDENT SERVICES BUILDING   415.485.9376 
                                                                           Student Interest Survey 
                                                                                                 PAGE 1 OF 2 
                   Return this form to the office of Student Activities and Advocacy, Student Services Bldg, Rm 247 
        Are you interested in having a voice on campus? Learn the ropes in student governance, coordinate 
        events, activities or start special projects. Complete the following questions and return to your 
        Associated Student government office and let us help you find your niche on campus. 
        Name:                                                                   Date: 
        Phone:                        Email: 
        I am interested in participating with (check all that apply): 
              ❏Student government (ASCOM)
              ❏ Inter Club Council (ICC)
                 e to participate in the following way(s): 
        I would lik
              ❏Event Planning/Fund Raising
              ❏ College Task Forces/Committees
             Experience is not required to participate. Associated Students provide the opportunity to learn! 
        Note: 
        If you have experience in one or more of the above areas, we welcome your expertise — and need you! 
        Academic Interests: 
        Career Interests: 
                                                                                                    Rev. 12/15
                                                         STUDENT ACTIVITIES AND ADVOCACY OFFICE 
                                               ROOM 247, STUDENT SERVICES BUILDING   415.485.9376 
                                                                    Student Interest Survey 
                                                                                        PAGE 2 OF 2
                                   PLEASE CHECK BELOW THE CLUBS THAT INTEREST YOU. 
                                                             
           ❏  Accessibility Rights Club                  ❏ International Society
                                                                            
           ❏ AlphaGammaSigma                             ❏ LandSustainabilityClub
             Academic Honor Society (KTD)                    
                                                         ❏ Latino Student Union
              
           ❏ Association of Peer Tutors                      
                                                         ❏ Life Drawing & Sculpture
              
           ❏ Auto Body Club-IVC                              
                                                         ❏ Literary Magazine Club
              
           ❏ Black Student Union                              
                                                         ❏ Machine Tool Technology (IVC)
                     
           ❏ BusinessClub                                        
                                                         ❏ MathClub
              
           ❏ Car Club/Auto Tech Students (IVC)               
                                                         ❏ Model UN Club
              
           ❏ Christian Club                                      
                                                         ❏ MusicClub
                           
           ❏ Cinema League                                    
                                                         ❏ Phi Theta Kappa Honor Society
             FilmEnthusiasts
                                                                        
                                                         ❏ ProgrammingClub
           ❏ Club Metal/Metal Art
                                                             
                                                         ❏ Puente Club
           ❏ Club Mud
             Ceramic Arts                                           
                                                         ❏ RainbowAlliance
                        
           ❏ Comet Club                                              
             Echo Times Student Newspaper                ❏ SculptureClub
                                                             
                                                         ❏ Sign Stars Club (ASL)
           ❏ Computer Science Club
                                                             
                                                         ❏ Student Art Association
           ❏ Dancers Guild
                                                             
                                                         ❏ Students 4 Social Justice
           ❏ DramaClub
                                                             
                                                         ❏ Students Nurses Association
           ❏ Engineer’s Society
                                                             
                                                         ❏ Transfer Club
           ❏ Environmental Action Club
                                                             
                                                         ❏ Veterans Association
           ❏ Inky Fingers Artists