Applications

 
  • Club Application

Official Registration Of Club & Club Officers
 

Club Registration Form
 

Please Complete all Sections
 

CLUB/CHAPTER NAME:
PRIMARY INSTITUTION (College, School, University):
CLUB COLORS/LOGO:
CLUB ADDRESS:
CLUB WEBSITE (www.yourclubwebsite.com):
PRIMARY CONTACT (Name of contact person/applicant):
PRIMARY CONTACT PHONE (Enter your phone number):
PRIMARY EMAIL ADDRESS (yourclubemail@domain.com:

CLUB MENTOR (Teacher, Professor, Principal):
YEAR ESTABLISHED (MM/DD/YYYY):
CLUB HISTORY (Enter your club history here or list major club events for this year.):

CLUB MISSION:
CLUB OBJECTIVES:
CLUB ACTIVITIES:
NUMBER OF CLUB MEMBERS:
CLUB OFFICIALSNAME                                PHONE NUMBER(S)         EMAIL

PRESIDENT

SECRETARY

TREASURER

PUBLIC RELATIONS OFFICER

YOUTH OFFICER

ALTERNATE

ALTERNATE

BOARD OF TRUSTEES

1.

2.

3.

4.

5.

SIGNED:                                                         DATE

 

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