Appendix 1
Fanshawe Student Union Club Charter
Name of Club:
(Please spell out short forms)
Type of Club:
Refer to the Club Policy, Section 1.1.2, for definitions of these club types
Common Interest Group
Program Association
Cultural/Religious Group
Community Service
Campus Chapter Group
Other (please explain in the field below)
Other explanation:
Describe the goal of the club:
Please provide some examples of club activities:
To form a club, there must be a President and Vice President. Additionally, two Signing Officers are required for clubs with funding.
Only one of these signing officers can be the President or Vice President.
President’s Name:
President’s FOL Email Address:
President’s Student Number:
President’s Phone Number:
Vice-President’s Name:
Vice-President’s FOL Email Address:
Vice-President’s Student Number:
Vice-President’s Phone Number:
Signing Officers:
Signing Officer 1:
Signing Officer 1’s FOL Email Address:
Signing Officer 1’s Student Number:
Signing Officer 1’s Phone Number:
Signing Officer 2:
Signing Officer 2’s FOL Email Address:
Signing Officer 2’s Student Number:
Signing Officer 2’s Phone Number:
If the club has other leadership positions (example: Secretary, Treasurer, etc.) please make note of these individuals below. These positions are OPTIONAL.
Name of Position:
Person’s Name:
FOL Email Address:
Student Number:
Phone Number:
Name of Position:
Person’s Name:
FOL Email Address:
Student Number:
Phone Number:
Include additional Information for the
www.fsu.ca/clubs
online listing here. This may also be added to the charter after the club is ratified. Club logos must be sent via email if you would like them included in your listing (pending approval). These images must be PDF or high-resolution PNG:
Club Email Address:
Club Facebook Page/Group:
Include any other online/social media information here:
If the club is a Program Association or has a Faculty/Staff Advisor, fill below:
Name of Department/Academic School:
Contact Name:
Phone Extension:
Email Address:
If the club is an on-campus chapter or partnered/affiliated with any professional association/business, fill below and attach a copy of the organization’s Certificate of Liability Insurance
Name of Organization:
Contact Name:
Phone Number:
Email Address:
Charter Submitted By:
Signature:
Re-type your name in the field above
Clubs must have a minimum of five full-time, registered, post-secondary students as members to be ratified and ten full-time, registered, post-secondary students (including two signing officers) to receive funding. All student numbers will be verified before the club is approved.
Clubs must be open to all students at Fanshawe College regardless of race, religion, ability, gender, sexual orientation or monetary status.
Member #1:
Name:
Student #:
Phone #:
Email Address:
Member #2:
Name:
Student #:
Phone #:
Email Address:
Member #3:
Name:
Student #:
Phone #:
Email Address:
Member #4:
Name:
Student #:
Phone #:
Email Address:
Member #5:
Name:
Student #:
Phone #:
Email Address:
5 members required for Club Ratification
Member #6:
Name:
Student #:
Phone #:
Email Address:
Member #7:
Name:
Student #:
Phone #:
Email Address:
Member #8:
Name:
Student #:
Phone #:
Email Address:
Member #9:
Name:
Student #:
Phone #:
Email Address:
Member #10:
Name:
Student #:
Phone #:
Email Address:
10 members required for Club Funding
Member #11:
Name:
Student #:
Phone #:
Email Address:
Member #12:
Name:
Student #:
Phone #:
Email Address:
Member #13:
Name:
Student #:
Phone #:
Email Address:
Member #14:
Name:
Student #:
Phone #:
Email Address:
Member #15:
Name:
Student #:
Phone #:
Email Address:
Member #16:
Name:
Student #:
Phone #:
Email Address:
Member #17:
Name:
Student #:
Phone #:
Email Address:
Member #18:
Name:
Student #:
Phone #:
Email Address:
Member #19:
Name:
Student #:
Phone #:
Email Address:
Member #20:
Name:
Student #:
Phone #:
Email Address:
Member #21:
Name:
Student #:
Phone #:
Email Address:
Member #22:
Name:
Student #:
Phone #:
Email Address:
Member #23:
Name:
Student #:
Phone #:
Email Address:
Member #24:
Name:
Student #:
Phone #:
Email Address:
Member #25:
Name:
Student #:
Phone #:
Email Address:
