Volunteer Application Club Application Use this form to submit an application to start a CCSAI Club. If you have any questions, please contact Loise Gahol at [email protected] Club Name* What will be the purpose of the club?*What benefit will it have to our students?*Executive MembersEach club must have three (3) Executive Members (President, Vice President, Admin Officer) and may appoint an optional Club AdvisorPresidentPresident Name* Student Number*myCentennial Email* PhoneVice PresidentVice President Name* Student Number*myCentennial Email* PhoneAdmin OfficerAdmin Officer Name* Student Number*myCentennial Email* PhoneClub AdvisorClubs 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 No Club Advisor Name Email PhoneAffiliation with the club: General MembersEach 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*Full NameStudent ID #E-mail CAPTCHA