Extra-Curricular/Co-Curricular Club Application
Email *
Proposed name of club *
Name of student submitting request *
Identify the teacher/staff member who has agreed to sponsor/chaperone. *
Explain when and where the meetings will take place. *
Describe what will take place during the meetings/activities. *
What is the rationale for creating this club/activity? Why would it be important to offer this? What is the educational benefit? *
Would you collect dues or engage in fundraisers? Explain *
Would you elect officers or have a hierarchy or leadership? Explain *
Please list 7-10 current students expressing an interest in this club/activity. *
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Cumberland Valley School District.