Third-Party Affiliation Request Form

If you require this form in an alternative format, please contact Adam Mohammed, Web Developer.
Contact Information of Proposed Club
Club Name
Your Name
Executive Position
Your position in the club, i.e. president
Email
Campus
Contact Information of Proposed Third Party
Company Name
Contact Name
Position at Sponsoring Organization
Contact person's job title.
Street Address*
Address Line 2
City*
State / Province / Region*
ZIP / Postal Code*
Country*
Phone
Email
Website
Why do you feel this third party affiliation is necessary?
How will this affiliation benefit the Humber and Guelph-Humber community?
What type of support are expecting from the third party?
Comments
This field is for validation purposes and should be left unchanged.

Contact Information of Proposed Club