Organization Information
Filing of this form acknowledges the right of the State College to release the above information
to the organization unless otherwise arranged.
Organizational registration is required for use of State College facilities and posting approval.
This form must be completed at the beginning of each semester and returned to the Director of
Student Activities.
Name of Organization: __________________________________________________________
Registration for: Fall 20______ or Spring 20______
Type of Organization: (check) Professional/Departmental Activity
Honor Religious Service
Social Sports Mutual Interest
Other: (describe) _________________________________
Description of Purpose: __________________________________________________________
______________________________________________________________________________
Qualification for Membership: ____________________________________________________
______________________________________________________________________________
Usual Meeting Time and Place: ___________________________________________________
Fees or Dues: __________________________________________________________________
Leadership
Faculty/Staff Advisor: _______________________________ Campus Extension: ___________
President: _____________________________________________________________________
Email Address: ____________________________________ Phone#: _____________________
Vice President: _________________________________________________________________
Email Address: ____________________________________ Phone#: _____________________
Secretary: _____________________________________________________________________
Email Address: ____________________________________ Phone#: _____________________
SGA Representative: ___________________________________________________________
Email Address: ____________________________________ Phone#: _____________________
