Application to Start a Club

Application to Start a Club

Use the form below to submit an application to start a club. In order to start a club, you will need to have a clear purpose for the club and three (3) students as Club Executives and a minimum of five (5) additional students as general members. After submitting the application, the listed Club Executives will be contacted by the CCSAI.

If you have any questions regarding the club application, please e-mail us at [email protected]

Club Application

Club Name(Required)

What will be the purpose of the club?(Required)

What benefit will it have to our students?(Required)

Executive Members

Each club must have three (3) Executive Members (President, Vice President, Admin Officer) and may appoint an optional Club Advisor

President

President Name(Required)

Student Number(Required)

myCentennial Email(Required)

Phone

Vice President

Vice President Name(Required)

Student Number(Required)

myCentennial Email(Required)

Phone

Admin Officer

Admin Officer Name(Required)

Student Number(Required)

myCentennial Email(Required)

Phone

Club Advisor

Clubs have the option of appointing one ex-officio Club Advisor from outside of the general student membership.

Does your club have a Club Advisor?

Yes

Club Advisor Name

Phone

Affiliation with the club:

General Members

Each club requires a minimum of 5 general members (excluding executive members) in order to be ratified. Use the fields below to indicate all members. Please note that all students much be currently registered.

General Members(Required)

Full Name

Student ID #

E-mail

CAPTCHA