Interested in joining the ICC-T team? Show us what you've got!
if applicable, show us your skills!
if applicable, show us your skills! whatever you've got personal or professional
There is ALWAYS a need for creative communication work at the ICC. In order to make sure this is a mutually beneficial arrangment let us know your skill sets and preferences.
have you managed any non-personal social media accounts?
what keeps you busy--course load, employment, group leader etc.
This form is intended for members to report house incidents to central leadership. Incidents include things like property theft, noise violation, personal injury during event, etc.
We will try to uphold the level of confidentiality you select though a duty to warn may apply: if a threat of physical violence against a reasonably identifiable third person and the recipient has the apparent intent and ability to carry out that threat in the foreseeable future, the mental health professional has a duty to take action.
Please include: 1. action taken 2. date of action 3.by whom
if applicable
This is the form filled out by a President, Vice-president, or DART Chair to receive a scholarship.
The President may apply for the scholarship by filling out an application, available from the Coordinating Committee and returning the completed application to Coordinating Committee. The President cannot be turned down for the scholarship the first time they apply, but they must fill out the application if they wish to receive the scholarship.
A. The Coordinating Committee may choose not to allow the President to apply for the scholarship if they have not been trained. This choice must be reported to the Board.
Each Vice President may apply for the scholarship by obtaining the application from the President and returning it to the President. Each Vice President cannot be turned down for the scholarship the first time they apply, but they must fill out the application if they wish to receive the scholarship.
A. The Coordinating Committee may choose not to allow a Vice President to apply for the scholarship if they have not been trained. This choice must be reported to the Board.
A DART Chair may apply for the scholarship by filling out this application, available from the President and returning the completed application to the president. A DART Chair cannot be turned down for the scholarship the first time they apply, but they must fill out the application if they wish to receive the scholarship.
If DART is co-chaired, the chairs may split the scholarship as appropriate. The cochairs must present the Board with a proposal to split the scholarship. In the absence of such a proposal, the scholarship shall be split evenly between the cochairs. The proposal must be approved by 85%.
The MAC may apply for the scholarship by filling out an application, available from the ICC President, and returning the completed application to the ICC President. The MAC cannot be turned down for the scholarship the first time they apply, but they must fill out the application if they wish to receive the scholarship.
President: 100% plus utilities VPs: 75% DART: 50% or 25% (split amongst co-chairs) MAC: 50%
This form is filled out by a member who does not have any future contracts with the ICC. This is not for ICPSR, Global Reach, CUFE, or CUEB members.
Shares are returned twice a year based on the last contract period during which the member had a contract.
Fall/Winter shares are returned by the end of the following October and Spring/Summer shares are returned by the end of the following March.
Please keep in mind we are a cooperative and delays may occur due to labor shortages and staffing changes.
Currently, all members within the USA recieve a check. Where would you like your rebate and/or share return to be sent?
Currently, all international student & non-students shares can only be returned via Paypal. What is your Paypal address?
If there are any issues with the postal service or your address, how can we reach you by phone?
Standing Rule 5.1.7 outlines four criteria for recieving a share return outside of the standard two times a year.
We maintain a database of former co-opers. We use this information for our mailing list which is for ICC events, the Alumni Cooperator, and house specific events or reunions. We will never sell or give your information to anyone outside of ICC members, alumni/ae, or staff. Let us know how you want to continue your involvement with us and the cooperative movement.
Where should we send any Alumni information?
A.K. Stevens Development Fund: capital improvements for the co-ops
Martin Luther King Jr. (MLK) Scholarship Fund: reduced charges for members facing financial difficulties Luther and Joan Buchele Sustainability Fund: energy efficient improvements for the co-ops
Alumni Program: to sustain the efforts of community amongst our vast alumni co-opers
If you'd like to donate to multiple funds please note in this box. If you're unsure of amounts please note so here and someone from the Finance Department will reach out for follow-up.
We appreciate your input and ideas, please answer the following short questions
Dear Scholarship Applicant,
All applicants are expected to complete the entire application and provide the Finance Committee with the documentation before your application can be processed. A few special notes:
All applicants are expected to have applied to the Financial Aid Office of the University/College they are attending.
1. If you have been given financial aid, we will ONLY need a copy of your most recent Accept/Decline (A/D) Statement.
2. If you have not applied to the OFA, or have been refused financial aid, please explain the reasons why in a short cover letter.
Extenuating Circumstances. Please explain any extenuating circumstances that impact your financial need status and that you would like the Finance Committee to know about. Address this in your own cover letter at the end of the application.
Document Uploads. To assist in effiency and complete applications, most upload fields are required. If you do not have the information requested attach a blank document stating so.
Final Decision. All award decisions will be made by the Finance Committee. All recipients will be notified by email shortly thereafter. All questions may be directed to the Finance Committee.
current or desired
Escher only
if you're a non-student type that into the field
please attach a copy of your current class schedule. If you are a graduate student with no current class schedule, we must have a letter from your department on letterhead verifying that you are an active participant in a grad program. If you are an international student, please also enclose a copy of your I- 20 form.
per semester
please attach a University/College account statement that is dated after the class drop/add deadline. No estimated statements will be accepted, we need to see the actual current invoice amount.
This category does not include class fees or computer expenses
please attach itemized receipts
per month combined House & ICC Charges
Out of Pocket, this includes doctor bills, prescription costs, insurance premiums which you pay
Please include copies of bills and/or doctor verification
Expenses directly related to the completion of your education
Expenses you are legally obligated to pay, although not directly related to the completion of your education. An example would be court-ordered child support payments.
Only include debt accrued as a student
Loans: For each loan, include the amount you are borrowing for the academic term(s) in which you will live in the ICC and the loan’s interest rate. Write the total loan amount for the contract period, not the amount disbursed each semester.
total for contract period
If applicable, do you feel that you have enough hours or too many hours? Please explain in your attached Extuenuating Circumstances Cover Letter.
please attach a copy of your most recent W2 form and a recent pay stub. We would like to assess your income in a fair manner in order to appropriately distribute scholarship funds. If you are an international student attending school on an F1 visa, you must include a copy of your Form I-20.
please attach an award letter from your scholarship or grant
Please have your guardian email vp.finance@icc.coop or dfs@icc.coop a letter detailing the financial support given.
Savings and Trust, total for contract period
Please attach a letter explaining any extenuating circumstances that impact your financial need status that you would like the Finance Committee to know about.
I certify that all statements relating to this application to be correct to the best of my knowledge. I will inform the ICC Finance Committee of any changes in my financial situation.
This is the form you fill out if you are not a student but are applying for membership with the ICC. The house receives this information and votes on whether or not to approve a non-student for house membership.
During contract period or if Spring/Summer for the following Fall
or resident advisor, house president, etc.
Please indicate your source(s) of financial support for the period of your intended contract (check all that apply)
By submitting this form, I hereby authorize and permit the Inter-Cooperative Council to perform a background check to obtain information about me from law enforcement and/or credit agencies, courthouses, personal, professional and residential referenfences and employers. I also authorize and give permission for all such parties to disclose any information requested about me to the Inter-Cooperative Council.