Club Application Form Please complete this form in full. Your submission will include the following: Club Application Form Sanctioned Club Agreement Uploaded Club Constitution Section 1: Name of Club Club Name Acronym Section 2: Contact Person Main contact person Position on the club Phone number School email address Personal email address Section 3: Mailing Address Name Address City Province Postal Code Section 4: Club Member Information Students (Minimum of three) Name Position Student ID Email address Phone number Name Position Student ID Email address Phone number Name Position Student ID Email address Phone number Additional Student Club Member Information Faculty Member (Minimum of one) Name Position Email address Phone number Additional Faculty Club Member Information Section 5: Funding Proposed club membership fee $ Alternative mode of funding Ambrose University Sanctioned Club Agreement Form The Club , understands that to form and remain a club that is sanctioned by Ambrose University, the club will: Operate the club in a manner that will not contradict Ambrose community standards or the institutional policies. They must also abide by their own constitution, bylaws and the Club procedures. Be responsible for the maintenance and security of any email, keys, space or information assigned to them as a club Be bound by the rulings of Ambrose University The Club , also understand and acknowledges that Ambrose University and the club committee have the right to immediately suspend and/or completely revoke any club privileges, resources or titles. Ambrose University will assume ownership of any club resources owned by Ambrose University, should a club cease to exist. Examples of such that would constitute immediate review are; breach of the club constitution, institutional policies, financial mismanagement or abuse of any privileges, resources or titles, etc. We as the Club representation and leaders acknowledge that we have read the constitution, Ambrose Student Standards and Handbook, the sanctioned Club agreement, as well are aware of Ambrose University policies and agree to adhere and respect all terms and conditions imposed by these documents. Name Student number Date Executive Position Name Student number Date Executive Position Attach your Club Constitution To complete your application to start a club, please attach your club constitution as outlined on the Creating your Club Constitution page. Upload your Club Constitution Files must be less than 2 MB.Allowed file types: pdf doc docx. Ambrose University is committed to safeguarding the personal information entrusted to us. We manage your personal information in accordance with Alberta’s Personal Information Protection Act and other applicable laws. Information collected in this form may be used to contact you regarding programs and services. It will form part of your record as an applicant, student, and alumnus and may be disclosed to academic and administrative units. All information is considered confidential and will be used and disclosed in accordance with privacy legislation. For more information regarding the collection or use of this information, please contact the Privacy Compliance Officer (403-410-2000 or e-mail email@example.com).