Scarborough High School Department of Athletics & Activities
New Club Program Request Form
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New Club Program Request Form
Name of Proposed Club
*
Faculty Advisor Name
*
Club Leader (Student) Name
If applicable
Grade
If applicable
School Email Address
example@example.com
Founding Member
Founding Members
Rows
Name
1.
2.
3.
4.
Approx of Students Interested (please upload roster of anticipated students)
List of Interested Students
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New Club Program Request Form
1. Can this activity be part of an already existing club?
*
Yes
No
If No, why not? If yes, which one?
*
2. Is this activity open to all students?
*
Yes
No
If No, please explain?
3. Is this activity consistent with our schools values & mission?
*
Yes
No
Please explain?
*
4. Will this activity require use of school transportation or facilities outside the normal school day?
*
Yes
No
If yes, please explain?
5. Will this activity compete in leagues or tournaments?
*
Yes
No
If yes, please explain?
6. Does this activity conflict with an existing club/program?
*
Yes
No
If no, please explain how it is different?
7. Is there enough students interested to sustain over multiple year?
*
Yes
No
If yes, how do you know?
8. Does this activity promote gender equity?
*
Yes
No
Please explain?
*
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New Club Program Request Form
Description of Club (Briefly describe the purpose of the club and what it aims to offer students):
*
Justification of Proposed Club (Why do you believe this club would be a valuable addition to SPS):
*
Goals of the Proposed Club:
*
Consequences of Non-Approval of Club:
*
Cost (Please list detailed cost analysis):
*
Lower Cost Alternative (Is there an alternative):
*
Required Resources (Please list Equipment, Space Staff, etc):
*
Club Rules (List any Club rules each member must follow in addition to school rules/guidelines):
Advisor/Faculty Signature
*
Date
*
/
Month
/
Day
Year
Date
Club Leader Signature (if different from advisor)
Date
/
Month
/
Day
Year
Date
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