affiliation request

7/27/2019 Affiliation Request

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New Club/Society Affiliation Request

This application must be completed electronically. You should then print it to sign thedeclaration and collect signatures of supporters on page 4. Once complete, please hand inthe hard copy to the CSC 2nd Floor, Bloomsbury Theatre, Gordon Street. Any questionsshould be directed to the CSC team on 0207 679 7239 or [email protected].

NAME OF PROPOSED CLUB /SOCIETY:

Proposed President

Name SN Number

Department Mobile Number

EmailAddress

UPI

Proposed Treasurer

Name SN Number

Department Mobile Number

EmailAddress

UPI

Please select which group your proposed Club / Society belongs to:

Arts & Media Society General Interest Society Sports Club

FOR OFFICE USE ONLY:

Activities Board Decision:

Affiliate Do Not Affiliate

Affiliation Approved:

Student Activities Officer :

Signature Date

Constitution Approved by Governance Committee:

Ethics, Environment &Operations Officer:

Signature Date

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SECTION 1: DETAILS OF ACTIVITIESWhat activity does your proposed Club / Society intend to carry out in atypical year?For example events, talks, lectures, social activities etc. The best applications will be

quite specific in this section.

Term 1 Activities (September-December)

1.

2.

3.

4.

5.

Term 2 Activities (January-March)

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2.

3.

4.

5.

Term 3 Activities (April-June)

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2.

3.

What will the main purpose of your proposed Club / Society be?

How will your proposed Club / Society benefit UCL Students?

Outline how your proposed Club / Society will provide newopportunities and activities which are accessible to all UCL Students?

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Why is there a need for your proposed Club / Society within UCLUnion?

Demonstrate how the activities of your proposed Club/Society are notalready catered for by an existing Club / Society:

How do you envisage your proposed Club / Society developing in thenext three years?

SECTION 2: RESOURCE REQUIREMENTS Will your proposed club / society require the ability to book rooms orlecture theatres around campus?

Yes No

Will your proposed club / society wish to promote events via UCL Union?

Yes No

Please estimate the ideal amount of funding that your proposed club/society will require each year to run all your proposed activities:

Please provide an explanation for this estimate:

Will your proposed club / society require the use of any specific facilities(eg. sports grounds or training facilities)? Please provide details.

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Will your proposed club / society require the purchase of any specificequipment? Please provide details.

Will your proposed club / society require any storage space? Pleaseprovide details.

DECLARATION:The above Club / Society wishes to apply for affiliation to UCL Union. The final

decision is taken by Activities Board. Affiliation is dependent on the following pointsbeing fulfilled:

1. The application must meet the criteria set out in the Notes for Applicantsthat accompanies this application form.

2. The application must be accompanied by a list of 30 full members of UCLUnion who support the application (see sheet overleaf).

3. Applicants are required to attend the relevant meeting of Activities Board todiscuss the application.

4. Successful applicants must complete an Annual Registration Pack and a RiskAssessment before their Club / Society can be formally established.

5. All Clubs / Societies must respect UCL Unions Constitution and StandingOrders and the Clubs and Societies Procedures and Regulations and GoodPractice Guidelines.

Signature:

PrintName:

Date:

Proposed Club/SocietyPresident

Signature:

PrintName:

Date:

Proposed Club/SocietyTreasurer

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Name of Proposed Club /Society:

To affiliate your proposed Club / Society to UCL Union, you need to demonstrate that thereis support from other students for your proposed Club / Society. Therefore, you are required

to get 30 fellow UCL students to complete the below to show their support for yourapplication.

NameDepartment

Email Signature

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affiliation request

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