Appendix 1
Fanshawe Student Union Club Charter
Name of Club:
(Please spell out short forms)
Club logo
Logo must be in .jpg or .png format and must be less than 2 MB.
Type of Club:
Refer to the Club Policy, Section 1.1.2, for definitions of these club types
Campus Chapter Group
Common Interest Group
Community Service
Cultural/Religious Group
Program Association
Recreational Club
Other (please explain in the field below)
Other explanation:
Describe the goal of the club:
Note: Input SMART Goals ( Specific, Measurable, Attainable, Realistic, Timely)
List all planned events, meetings and projects for the upcoming academic year (if you only have one project, please list the steps involved)
Enter that info in the field below, or, upload an Excel document using the field button under it.
If you did not enter event/meeting/project information above, attach an Excel file with the information using the button below. Include columns for event names, descriptions and event dates.
To form a club, there must be a President, Vice President and the Treasurer. The role of Treasurer cannot be held by the President or Vice President.
Presidents Name:
Presidents FOL Email Address:
Presidents Student Number:
Presidents Phone Number:
Vice-Presidents Name:
Vice-Presidents FOL Email Address:
Vice-Presidents Student Number:
Vice-Presidents Phone Number:
Treasurers Name:
Treasurers FOL Email Address:
Treasurers Student Number:
Treasurers 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 one treasurer) 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.
Type your members information in the fields below or
upload an Excel file
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:
If you did not enter your members information in the fields above, use the button below to upload an Excel file with that information. Each row should contain the club member name, student number, phone and email address.
I certify that all information listed above is accurate to the best of my knowledge. I may be contacted for further questions.