APPLICATION FOR RECOGNITION AS A STUDENT ORGANIZATION
NAME OF ORGANIZATION
TYPE OF ORGANIZATION: (check) Professional/Departmental Activity
Honor Religious Service
Social Sports Mutual Interest
Other: (describe) _________________________________
DATE OF APPLICATION
FACULTY/STAFF ADVISOR
CAMPUS EXTENSION: _________________ EMAIL:_______________________________________________
PRESIDENT
EMAIL ADDRESS PHONE
VICE PRESIDENT
EMAIL ADDRESS PHONE
SECRETARY
EMAIL ADDRESS PHONE
TREASURER
EMAIL ADDRESS PHONE
SGA REPRESENTATIVE
EMAIL ADDRESS
PHONE
HAS THIS GROUP PREVIOUSLY APPLIED FOR RECOGNITION AS A STUDENT
ORGANIZATION
?
YES NO IF YES, WHEN?
SIGNATURES OF ALL ADVISORS AND OFFICERS LISTED ABOVE:
Accompanying this form should be (1) A signed copy of the Declaration of Non-Discriminatory Practices,
and (2) A copy of the Charter or Constitution stating the proposed organization’s purpose.
Approved By: __________________________________________ Date: _____________________________
Director of Student Activities
Approved By: __________________________________________ Date: _____________________________
Dean of Students
Revised 9/6/2019
