This form is to be completed by club leaders who wish to request a name change for officially recognized club.
Requestor's Name
(Required)
First
Last
Requestor's Email
(Required)
Must be @westernu.edu e-mail address
Campus
(Required)
Pomona
Lebanon
Club's Current Name
(Required)
SELECT ONE
Academy of General Dentistry
Academy of Managed Care Pharmacy
American Academy of Podiatric Practice Management (AAPPM)
American Academy of Podiatric Sports Medicine
American Assembly for Men in Nursing
American Association of Public Health Dentistry at WesternU
American Association of Women Dentists
American Association of Women Podiatrists
American College of Foot & Ankle Surgeons
American College of Osteopathic Family Physicians
American College of Osteopathic Family Physicians-Lebanon
American College of Osteopathic Pediatricians-Lebanon
American College of Osteopathic Surgeons
American College of Podiatric Medicine
American Dental Education Association
American Medical Association - Medical Student Section of COMP-Northwest-Lebanon
American Medical Student Association
American Medical Women's Association/OB-GYN Club
American Medical Women's Association-Lebanon
American Optometric Student Association
American Pharmacists Association - Academy of Students
American Student Dental Association
Anesthesiology Club
Animal Nutrition Club
Armenian Student Association
Artificial Intelligence in Medicine-Lebanon
Asian Pacific American Medical Student Association- Pomona
Asian-Pacific American Medical Student Association-Lebanon
Beta Sigma Kappa Optometric Honor Society
Bioethics Interest Group
California Medical Association
California Society of Health System Pharmacists
Cardiology Interest Group
Chinese-American Health Students Association
Christian Fellowship Club-Lebanon
Club of Psychiatry Enthusiasts
College of Optometrists in Vision Development
Contact Lens Club
Cultural Awareness Club-Lebanon
Delta Sigma Delta Dental Fraternity
Dental Student Research Group
Dermatology Interest Group
Dermatology Interest Group - Lebanon
Doctor of Nursing Practice Association
Emergency Medicine Interest Group-Lebanon
Emergency Medicine Interest Group-Pomona
Environmental Advocates: Right to Health
Fellowship of Christian Optometrists
Filipino American Student Association
Forensics Club-Lebanon
Gastroenterology Interest Group
Genetics and Medical Technology Interest Group
Global Health Club-Lebanon
Global Health Club-Pomona
Gold Humanism Honor Society
Gold Humanism Honor Society-Lebanon
Harm Reduction and Addiction Medicine Interest Group
Harm Reduction and Addiction Medicine Interest Group-Lebanon
Harvest Harmony
Hispanic Student Dental Association
Humor and Art as Medicine
Industry Pharmacists Organization
Inland Empire Outreach
Integrative Medicine Club
Internal Medicine Club- Lebanon
Interventional Radiology Interest Group
Interventional Radiology Interest Group-Lebanon
Iranian Student Association
Jewish Student Association
Kappa Psi Pharmaceutical Fraternity
Korean Student Association
Latino Medical Student Association
Latino Medical Student Association-Lebanon
Latinx Veterinary Medical Association
Latter Day Saints Student Association
LGBTQ Equality Alliance-Pomona
LGBTQ Equality Alliance-Lebanon
Lifestyle Medicine Interest Group
Lions Club @ WesternU
Medical Students for Choice-Lebanon
Middle Eastern Health Professional Association
Military Medical Student Association
Military Medical Student Association-Lebanon
Musicians in Medicine
Muslim Student Association
Narrative Medicine Club-Lebanon
National Community Pharmacists Association
National Hispanic Pharmacists Association
National Optometric Student Association
National Student Nurse Association
OB-GYN Club - Lebanon
Oncology Interest Group
Ophthalmology Interest Group
Optometric Extension Program
Optometry Private Practice Club
Orthodox Union Jewish Learning on Campus
Osteopathic Physicians & Surgeons of California
Osteopathic Physicians and Surgeons of Oregon
Parasitology Club
Pathology Interest Group
Pediatric Interest Group
Phi Delta Epsilon
Phi Lambda Sigma - Gamma Nu Chapter
Physical Medicine & Rehabilitation Club
Physical Medicine and Rehabilitation-Lebanon
Physical Therapy Advocacy Club
Physical Therapy Advocacy Club-Lebanon
Physician Assistant Student Society
Pipeline to Health Careers-Pomona
Podopediatrics Club
Pomona Community Health Action Team
Pomona Homeless Outreach Project
Prison Education Project
Psychiatry Student Interest Group Network-Lebanon
Public Health Club
Rare Disease Interest Group
Recreation Networking Club-Lebanon
Research Club-Lebanon
Rho Chi Society
Rural Health Club-Lebanon
SC - American Association of Avian Pathologists
SC - American Association of Bovine Practitioners
SC - American Association of Equine Practitioners
SC - American Association of Feline Practitioners
SC - American College of Veterinary Internal Medicine
SC - American College of Veterinary Pathologists
SC - American Holistic Veterinary Medicine Association
SC - American Osteopathic Association of Orthopedics
SC - American Veterinary Society of Animal Behavior
SC - Association of Shelter Veterinarians
SC - Christian Veterinary Mission
SC - Humane Society Veterinary Medical Alliance
SC - Society for Theriogenology
SC - World Aquatic Veterinary Medical Association
Sigma Sigma Phi
Sigma Sigma Phi-Lebanon
Society for Medical & Bioethics-Lebanon
Southern CA Podiatric Medical Students' Association
Specialties Club-Lebanon
Sports Medicine Club-Lebanon
Student American Osteopathic Academy of Sports Medicine
Sports Vision Club
Student American Academy of Osteopathy-Lebanon
Student American Academy of Osteopathy-Pomona
Student American Osteopathic Association of Orthopedics-Lebanon
Student American Veterinary Medical Association
Student Interest Group in Neurology
Student Interest Group in Neurology-Lebanon
Student National Dental Association
Student National Medical Association
Student Osteopathic Internal Medicine Association
Student Osteopathic Medical Association-Lebanon
Student Osteopathic Medical Association-Pomona
Student Osteopathic Surgical Association-Pomona
Student Veterinary Emergency Critical Care Society
Student Volunteer Optometry Services to Humanity
Telemedicine Interest Club
Ultrasound Club
Ultrasound Club-Lebanon
Veterinary Business Management Association
Veterinary Diagnostic Imaging Club
Veterinary Histology Club
Veterinary Research Club
Veterinary Surgery Club
Vietnamese Student Association
White Coats for Black Lives
White Coats for Black Lives - Lebanon
Wilderness Medicine Club
Wilderness Medicine Club-Lebanon
Zoological, Exotic Companion, and Wildlife Medicine Society
What is the club's proposed name?
(Required)
What is the club's proposed acronym?
(Required)
Club's Current E-mail Address
(Required)
SELECT ONE
AGDClub@westernu.edu
AMCPclub@westernu.edu
AAPPMClub@westernu.edu
AAPSMclub@westernu.edu
AAMNclub@westernu.edu
AAPHDClub@westernu.edu
AAWDclub@westernu.edu
AAWPClub@westernu.edu
ACFASclub@westernu.edu
ACOFPclub@westernu.edu
ACOFPClubLebanon@westernu.edu
ACOPClubLebanon@westernu.edu
SOSAclublebanon@westernu.edu
acpmclub@westernu.edu
ADEAclub@westernu.edu
AMAclubLebanon@westernu.edu
AMSAclub@westernu.edu
AMWA-OBGYNclub@westernu.edu
AMWAclubLebanon@westernu.edu
AOSAclub@westernu.edu
APhAclub@westernu.edu
ASDAclub@westernu.edu
ANESclub@westernu.edu
ANCClub@westernu.edu
ASAclub@westernu.edu
AIIMclublebanon@westernu.edu
APAMSAclub@westernu.edu
APAMSAclubLebanon@westernu.edu
BSKclub@westernu.edu
BIGclub@westernu.edu
LACMAclub@westernu.edu
CSHPclub@westernu.edu
CIGClub@westernu.edu
CAHSAclub@westernu.edu
CFclublebanon@westernu.edu
COPEclub@westernu.edu
COVDclub@westernu.edu
CLclub@westernu.edu
CACClubLebanon@westernu.edu
DSDclub@westernu.edu
DSRGclub@westernu.edu
DIGclub@westernu.edu
DIGClubLebanon@westernu.edu
DNPclub@westernu.edu
EMclublebanon@westernu.edu
Emclub@westernu.edu
EARTHclub@westernu.edu
EAclub@westernu.edu
FCOclub@westernu.edu
FASAClub@westernu.edu
FCClubLebanon@westernu.edu
GIGclub@westernu.edu
GMTIGclub@westernu.edu
GHCclubLebanon@westernu.edu
GHCclub@westernu.edu
GHHSclub@westernu.edu
GHHSclubLebanon@westernu.edu
HRAMclub@westernu.edu
HRAMClubLebanon@westernu.edu
HHclub@westernu.edu
HSDAclub@westernu.edu
Hamclub@westernu.edu
IPhOClub@westernu.edu
ieoclub@westernu.edu
imcclub@westernu.edu
IMCclubLebanon@westernu.edu
RTclub@westernu.edu
IRIGclubLebanon@westernu.edu
ISAclub@westernu.edu
JSAclub@westernu.edu
KPPFclub@westernu.edu
KSAclub@westernu.edu
LMSAclub@westernu.edu
LMSAclubLebanon@westernu.edu
LVMAClub@westernu.edu
LDSSAclub@westernu.edu
LGBTQClub@WesternU.edu
LMIGclub@westernu.edu
Lionsclub@westernu.edu
MSFCclublebanon@westernu.edu
Mehpaclub@westernu.edu
MMSAclub@westernu.edu
MMSAclubLebanon@westernu.edu
MMClub@westernu.edu
MSAclub@westernu.edu
NMCClubLebanon@westernu.edu
NCPAclub@westernu.edu
NHPAclub@westernu.edu
NOSAclub@westernu.edu
NSNAclub@westernu.edu
OBGYNclubLebanon@westernu.edu
OIGclub@westernu.edu
OpIGclub@westernu.edu
OEPclub@westernu.edu
OPPBclub@westernu.edu
OUJLICclub@westernu.edu
OPSCclub@westernu.edu
OPSOClubLebanon@westernu.edu
ParasitologyClub@westernu.edu
PIGClub@westernu.edu
pediatricclub@westernu.edu
PDEclub@westernu.edu
PLSclub@westernu.edu
PMARCclub@westernu.edu
PMARCClubLebanon@westernu.edu
PTACclub@westernu.edu
PTACclubLebanon@westernu.edu
PASSclub@westernu.edu
PHC@westernu.edu
Podopedclub@westernu.edu
PCHAT@westernu.edu
PHOP@westernu.edu
PEPclub@westernu.edu
PsychSIGNClubLebanon@westernu.edu
PublicHealthClub@westernu.edu
RDIGclub@westernu.edu
Recreationclublebanon@westernu.edu
ResearchclubLebanon@westernu.edu
RhoChiclub@westernu.edu
RHclubLebanon@westernu.edu
SC-AAAPclub@westernu.edu
SCAABPclub@westernu.edu
SCAAEPclub@westernu.edu
SCAAFPclub@westernu.edu
SCACVIMclub@westernu.edu
SCACVPclub@westernu.edu
HolisticVetclub@westernu.edu
SAOAOclub@westernu.edu
SCAVSABclub@westernu.edu
SCASVclub@westernu.edu
SCCVMclub@westernu.edu
SCHSVMAclub@westernu.edu
Therioclub@westernu.edu
SCAquaticVMAclub@westernu.edu
SSPclub@westernu.edu
SSPclubLebanon@westernu.edu
SMBclubLebanon@westernu.edu
SCPMSA@westernu.edu
SpecialtiesclubLebanon@westernu.edu
SMclubLebanon@westernu.edu
SMclub@westernu.edu
SVclub@westernu.edu
SAAOclubLebanon@westernu.edu
SAAOclub@westernu.edu
SAOAOclubLebanon@westernu.edu
SAVMA@westernu.edu
SIGNclub@westernu.edu
SIGNclubLebanon@westernu.edu
SNDAclub@westernu.edu
SNMAclub@westernu.edu
SOIMAclub@westernu.edu
SOMAclublebanon@westernu.edu
SOMAclub@westernu.edu
SOSAclub@westernu.edu
SVECCSclub@westernu.edu
sVOSHclub@westernu.edu
TICclub@westernu.edu
UltrasoundClub@westernu.edu
UltrasoundClubLebanon@westernu.edu
VBMAclub@westernu.edu
VDICClub@westernu.edu
VHClub@westernu.edu
DVMResclub@westernu.edu
VetSurgeryclub@westernu.edu
WVSAclub@westernu.edu
WC4BLClub@westernu.edu
WC4BLClubLebanon@westernu.edu
WMclub@westernu.edu
WMCClubLebanon@westernu.edu
ZEWclub@westernu.edu
Regarding the club's e-mail address. What is your preference?
(Required)
No Change
Keep the e-mail address but change the display name
Change the e-mail address and the display name
What is the proposed e-mail address?
(Required)
The club's e-mail address is typically acronym+club@westernu.edu.
Provide a brief reason for the name change:
(Required)
Upon submit, University Student Affairs (studentaffairs@westernu.edu) and the Executive SGA (sga@westernu.edu) will receive an e-mail with your request.
The Executive SGA will reach out to you with the Senate meeting schedule, and you'll present your request to the Student Senate. Please note the Student Senate Meets the 1st and 3rd Tuesday from October to May (with some exceptions).
If approved, University Student Affairs will update our records and will reach out if there are any concerns or questions.
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