About this Survey

Please fill out this form by Sunday, October 1st 2017 at 4:59pm if you would like to be considered to obtain a locker for your Club.

Successful applicants will have to pay a $10 locker deposit.

This survey is anonymous. Even if you are logged in your personal information will not be saved.

2017/18 MSU Club Locker Application

1. 2017/18 MSU Club Locker Application

Please fill out this form by Sunday October 1st at 4:59 pm if you would like to be considered to obtain a locker for your Club.


* Indicates required.

Club Name: *

President Name: *

Email Address (what you use most often): *

What size locker are you requesting? *

Choose one.

How would having a locker impact the operations of your club? *

What types of materials would you store in your club locker? *

I affirm that to the best of my knowledge the above statements are true. Please sign your full name below: *