Fillable Organization-officer-and-membership-form Organization Officer and membership form

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Organization-officer-and-membership-form Organization Officer and membership form

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ORGANIZATION OFFICER AND MEMBERSHIP FORM | updated:1/2019
Organization Officer and Membership Form
Please be aware that the below information is public knowledge. Student Organization Registration is a function
of the Office of Student Life. Registration shall be defined as the process whereby a student organization
acquires recognition by the University as described in the Office of Student Life Policies and Procedures
Manual. Registration is valid for one (1) academic year for all organizations that complete the process during
the Fall semester. Organizations that complete the recognition process during the Spring semester will only
receive validation for the Spring semester.
Note: All membership forms should be submitted to the Office of Student Life during business hours.
All officers must be full-time BSU students with a 2.5 or higher cumulative GPA. Completing this form gives the Office
of Student Life the authority to periodically monitor your GPA.
Organization
Name
Academic
Year
President
BSU ID#
Mobile Phone #
Email
Campus/Home Address
GPA (Cumulative)
Vice President
BSU ID#
Mobile Phone #
Email
Campus/Home Address
GPA (Cumulative)
ORGANIZATION OFFICER AND MEMBERSHIP FORM | updated:1/2019
Advisor's Name
Campus Address
Campus Extension
Email
Certified Voter Volunteer
1 member of your organization or advisor to have voter registration.
Name:
Distributor Number:
Expiration Date:
By completing this form, the officers and members of the aforementioned organization certify that the organization is in
full compliance with all federal and state nondiscrimination and equal opportunity laws, orders and regulations. Student
organizations will refrain from discriminating in membership decisions, elections, and all other matters on the basis of
race, color creed or religion, sex, sexual orientation, age, veteran status , physical or mental disabilities, or national origin
(where applicable).
For OSL Office Use Only
Date Received
Received By
Treasurer
BSU ID#
Mobile Phone #
Email
Campus/Home Address
GPA (Cumulative)
Secretary
BSU ID#
Mobile Phone #
Email
Campus/Home Address
GPA (Cumulative)
ORGANIZATION OFFICER AND MEMBERSHIP FORM | updated:1/2019
Membership List
Name
BSU ID#
Email
Mobile #
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Completed 29 February 2020

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