Online Club Application Submission

The purpose of this form is to provide the Loyalist Student Government with a better understanding of your reasoning for starting a club and your goals for the year.

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* 1. Club Name

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* 2. Club Contact Name

First Name

Last Name

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* 3. Phone

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* 4. Email

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* 5. Staff Advisor Name (if applicable)

First Name

Last Name

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* 6. Purpose of Club

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* 7. Club Activities

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* 8. What does your club require in terms of resources, supplies and equipment?

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* 9. Club Description (to encourage students to join your club)

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* 10. Club Agreement
I have read & understood all the Loyalist Student Government Club rules, regulations & procedures. I also understand that I am responsible for ensuring that the rules, regulations & procedures are followed. I realize that any infraction of the rules, regulations & procedures can lead to cancellation of Loyalist Student Government’s endorsement of the club.

Yes

No