Student Government Association
Request for Placement on Agenda
This form, along with a typed copy or detailed outline of the presentation, must be submitted to the Student Body
Secretary by 5:00 p.m on the Thursday prior to the Student Government meeting in order to be placed on the agenda.
Name of Club / IF NONE Student Name & B-Number:
______________________________________________________________________________________________
Club Delegates:
Please provide the names and primary email addresses of the Club Delegates who will be giving the
presentation before the Student Government Association.
NAME:
EMAIL:
NAME:
EMAIL:
Desired Date to Appear Before Student Government: / /
Name of Club Sponsor: ___________________________________________________________________________________
Purpose of Appearance:
Consent Agenda
Items such as calendar requests or
“individual club activities” that require
Student Senate “Consent” but NOT
debate
□ Funding Request
**must be presented and
approved four (4) weeks
before event/activity.
□ Travel Request
**must be presented and
approved six (6) weeks before
trip.
□ Student
Comment/Presentation
Students who would like to request 3-5
minutes to bring campus business to the
Senate and board may also provide a
speakers (3 X 5) card at meeting.
Presentation
Club or student body presentations of
coming events, activities or discussion
topics
□ Non-Funding
Request (Requiring Senate
Debate)
**must be presented and
approved two (2) weeks
before event/activity.
□ Other:
______________________
______________________
_______________________
General Topic to be Presented: Please briefly summarize the topic that you will be addressing before the Student Government
Association, including the general occasion of the presentation, important time variables, etc.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Action Desired: If applicable, please specify in a single statement what action you desire the Student Government Association to
take as a result of your presentation. Please be as specific as possible.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Note: Each club presentation is limited to five (5) minutes unless a motion is made by a recognized member of the Student
Government Association other than the speaker(s) to extend the presentation by two (2) minutes.
Approval Date Received: Time:
_________________________________________________________________________________________________________
Signature of Club Sponsor Date Signature of Student Body Secretary Date
__________________________________________________________________________________________________________
Signature of Delegate/Club Officer Date
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