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New Org (Winthrop University)

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Student Organizations
CHARTER APPLICATION
Please read through the Student Organization Handbook for complete details on the chartering process. Complete
each section. The form must be typed, printed, signed by the organization president and turned into DIGS 269.
ORGANIZATION REPRESENTATIVE CONTACT INFORMATION -- (designee filling out form)
Name Phone
CHARTERING INFORMATION
Semester & Year of Chartering
ORGANIZATION INFORMATION
Full Organization Name Nickname/Common Name
Organization Purpose (50 words max)
Membership Criteria
Major Events
Meeting Day/Time/Location
Local, State, National Affliliation & Website
FUNDING INFORMATION
Dues--Amount & Use
Plan to Request Student Allocated Funds? (yes/no)
Other Financial Information
OFFICIAL CONTACT INFORMATION
Official Mailing Address
Official E-mail Address--must not be a non-personal Winthrop account
Official Website
Organization Description (50 words max)
Department of Student Affairs
Division of Student Life
Winthrop University
Print Form
Student Organizations
CHARTER APPLICATION
CHARTER MEMBER INFORMATION
President
Phone
Classification
Local Address
E-Mail
Vice-President
Phone
Local Address
Classification E-Mail
Treasurer
Phone
Local Address
Classification E-Mail
Please attach a roster with a minimum of ten (10) Charter Members, including the officers. This list should be typed with name, local
addresses, phone number and signature for each member.
ADDITIONAL REQUIREMENTS NEED TO BE ATTACHED
CONSTITUTION & BYLAWS: Samples are available on the Student Organizations website.
EXTRAS: Please attach any additional information to help with chartering, including promotional materials and affiliate organization
information.
SIGNATURES & APPROVAL
President Signature
Council of Student Leaders Signature
Assistant Director for Student Activities and Leadership
(Office Use Only)
Date Received ___________________
Approval Date __________________
Posted ___/___/___ Copy ____________
Department of Student Affairs
Division of Student Life
Winthrop University
Organization Type _________________
Program Director for Intramurals & Club Sports (if applicable)
Student Organizations
ROSTER FORM
All Roster Forms should accompany your Charter Application. Use mulitiple sheets if necessary. Please list all
member names, addressess, phone numbers and emails. Each person must sign by their name.
FULL NAME: ________________________________________
ADDRESS: __________________________________________
___________________________________________________
SIGNATURE: ________________________________________________
PHONE NUMBER: ____________________________________________
WINTHROP E-MAIL: __________________________________________
FULL NAME: ________________________________________
ADDRESS: __________________________________________
___________________________________________________
SIGNATURE: ________________________________________________
PHONE NUMBER: ____________________________________________
WINTHROP E-MAIL: __________________________________________
FULL NAME: ________________________________________
ADDRESS: __________________________________________
___________________________________________________
SIGNATURE: ________________________________________________
PHONE NUMBER: ____________________________________________
WINTHROP E-MAIL: __________________________________________
FULL NAME: ________________________________________
ADDRESS: __________________________________________
___________________________________________________
SIGNATURE: ________________________________________________
PHONE NUMBER: ____________________________________________
WINTHROP E-MAIL: __________________________________________
FULL NAME: ________________________________________
ADDRESS: __________________________________________
___________________________________________________
SIGNATURE: ________________________________________________
PHONE NUMBER: ____________________________________________
WINTHROP E-MAIL: __________________________________________
FULL NAME: ________________________________________
ADDRESS: __________________________________________
___________________________________________________
SIGNATURE: ________________________________________________
PHONE NUMBER: ____________________________________________
WINTHROP E-MAIL: __________________________________________
FULL NAME: ________________________________________
ADDRESS: __________________________________________
___________________________________________________
SIGNATURE: ________________________________________________
PHONE NUMBER: ____________________________________________
WINTHROP E-MAIL: __________________________________________
FULL NAME: ________________________________________
ADDRESS: __________________________________________
___________________________________________________
SIGNATURE: ________________________________________________
PHONE NUMBER: ____________________________________________
WINTHROP E-MAIL: __________________________________________
FULL NAME: ________________________________________
ADDRESS: __________________________________________
___________________________________________________
SIGNATURE: ________________________________________________
PHONE NUMBER: ____________________________________________
WINTHROP E-MAIL: __________________________________________
FULL NAME: ________________________________________
ADDRESS: __________________________________________
___________________________________________________
SIGNATURE: ________________________________________________
PHONE NUMBER: ____________________________________________
WINTHROP E-MAIL: __________________________________________
Department of Student Affairs
Division of Student Life
Winthrop University
PAGE ___ OF ___
Student Organizations
FACULTY/STAFF ADVISOR AGREEMENT
Faculty/Staff advisors are volunteers who give their time to the betterment of student life
by helping clubs & organizations. Faculty/Staff advisors must be at least a part-time
employee of Winthrop University and must be willing to enrich students with their
assistance in co-curricular experiences. Student organizations are given the right to
select their own advisors.
Your Responsibility as a Faculty/Staff Advisor
1. Be familiar with University and student organizations policies that will affect the
organization. Obtain a copy of the Student Organizations Handbook.
Keep organization informed of changes or revisions.
2. Ensure that the correct representative attend the mandatory student
organizations training meeting held each semester by the Office for Student
Organizations.
3. Maintain contact with the organization and provide general support and leadership.
4. Serve as a liaison between the organization, faculty, staff,
administration, and the Office for Student and Organizations.
5. Participate and guide the organization in designing meaningful programs that are
consistent with the organizations purpose and goals.
6. Determine the roles and expectations between the advisor and the organization.
The Office of Student Activities would like to thank you for donating your valuable time to clubs &
organizations at Winthrop. It is this commitment to integration of academic and interpersonal development
that makes the students so successful.
Faculty/Staff Advisor's Signature Date
Department of Student Activities
Division of Student Life
Winthrop University
Name of Organization
Advisor's Name
Department
Phone Number
This form MUST be typed, printed, signed and turned into 269 DiGiorgio Campus Center
Organization President Signature Date
(Office Use Only)
Received By & Date ___________________
Approved By & Date __________________
Posted ___/___/___ Copy ____________
Advisor's Email:
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New Org (Winthrop University)

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Completed 25 July 2020

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