Student Activities Club Request Form

Student Life New Club Inquiry

Please complete and submit this form if you are interested in starting a new club at College of DuPage. Only currently enrolled students are eligible to start a new club.

*Club Information ( denotes REQUIRED)**
*Description of Club:	REQUIRED
*Possible name of club:
Possible adviser(s):
Number of other students interested:
*Your Information ( denotes REQUIRED)**
*Last name:

*First name:
*Phone number:
*E-mail address: (All communication will be completed through e-mail; C.O.D. e-mail is preferred)

*Are you a currently enrolled C.O.D. student?

Question or comments:

You will receive a response via e-mail within
5 business days of submitting this form