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Brooklyn Technical High School
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Club Application Form
Please complete the form below. Mandatory fields marked
*
General Information
Name of Club/Team
*
Name of Advisor/Coach
*
Advisor/Coach Email Address
*
Statement of Purpose
*
Short Range Goals
1.
*
2.
Long Range Goals
1.
*
2.
Member Information
List of Members
(if more send in to Mr. Williams)
1.
9.
2.
10.
3.
11.
4.
12.
5.
13.
6.
14.
7.
15.
8.
16.
Total Number of Members
*
Were you a club last year
No
Yes
If yes, how many years
Less than 1
1
2
3
4
5
More than 5
Day/Time & Place of Meeting
Day
*
Time
*
Room
*
List of Officers
President
*
Email
*
Vice Pres
*
Email
*
Secretary
*
Email
*
Treasurer
*
Email
*
Club Representative
Full Name
*
Email
*
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