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Summary: Application Form for Starting a Campus Club
All sections must be completed in FULL before the application will be
considered for sanctioning.
Section 1: Name of Club
Date: _______________________________ Club Name: ___________________________________
Section 2: Contact Person
Main Contact Person: ______________________________________________________________
Phone Number: ________________________ E-mail Address: __________________________
Student ID#: ____________________________ Position: _________________________________
Section 3: Executive Information (a minimum of four (4) members)
Name: __________________________________ Position: _________________________________
Phone Number: ______________________ E-mail Address: ____________________________
Student ID#: __________________________ Signature: _________________________________
Name: __________________________________ Position: _________________________________
Phone Number: ______________________ E-mail Address: ____________________________
Student ID#: __________________________ Signature: _________________________________
Name: __________________________________ Position: _________________________________
Phone Number: ______________________ E-mail Address: ____________________________
Student ID#: __________________________ Signature: _________________________________
Name: __________________________________ Position: _________________________________
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