New/Reactivated Club Charter
Name of Club/Organization: ________________________________________________ New _______ Reactivation _______
Purpose of Club/Organization: _______________________________________________________________
_____________________________________________
Club Sponsor: ____________________________________________________________ Phone: __________________________
Position: ________________________________________________________________ Campus: _________________________
Officers (if available):
Position:
Name:
Last 4 of B#
Phone:
Titan Email:
Members (minimum of 10 currently enrolled students, including officers, required):
Name:
Last 4 of B#:
Titan Email:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Club/Organization Meetings:
Days:
Times:
Frequency:
Eastern Florida State College is committed to conducting all activities without regard to age, color, sex/sexual orientation,
religion, national origin, race, political affiliation, marital status, veteran status, or physical or mental disability.
Note: Clubs/organizations must submit a constitution/bylaws with this application.
___________________________________________________________ ______________
Club Sponsor Date
___________________________________________________________ ______________
Student Government Association President Date
___________________________________________________________ ______________
Student Life Coordinator Date
___________________________________________________________ ______________
Campus Associate Provost Date
___________________________________________________________ ______________
Campus Provost Date
___________________________________________________________ ______________
Associate Vice President, Enrollment Management Date
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