Student Organization Registration Form
2019-2020
THIS FORM MUST BE COMPLETELY FILLED OUT FOR YOUR ORGANIZATION TO BE CONSIDERED AN ACTIVE,
REGISTERED ORGANIZATION. Organizations must be activated every year to receive funding and benefits. Please complete
& return this form by September 20, 2019. If your officers change it is the clubs responsibility to complete a new registration
form with the updated information. Please print clearly and fill out the following form completely. This form will not be accepted
without a signature from the president and advisor. WE CANNOT ACCEPT NON-ISU EMAIL ACCOUNTS!
All organizations have a mail box in the Office of Student Involvement & Orientation. Pick up your mail frequently. Your organization
mailing address is: 921 S. 8
th
Ave. Stop 8170, Pocatello, ID 83209
ORGANIZATION NAME MUST BE THE SAME AS PRINTED ON CONSTITUTION
CLB
CLUB NAME INDEX NUMBER
President: Email: @isu.edu
Bengal ID: Phone :( )
Vice President: Email: @isu.edu
Bengal ID: Phone :( )
Secretary: Email: @isu.edu
Bengal ID: Phone :( )
Treasurer: Email: @isu.edu
Bengal ID: Phone :( )
Advisor: Email: @isu.edu
Department: Box #: Phone :( )
It is understood that violation of any University policy, including the ISU Student Code of Conduct, may be cause for withdrawal
of recognition by Idaho State University. It further acknowledges the right of the University to release the above information
about your organization unless otherwise arranged.
Presidents Signature Date:
Advisors Signature Date:
Important Advisor Cleary Act Information: Due to your role as an advisor of a recognized student organization, you are
considered a “Campus Security Authority” for the university. As such, you shall immediately report any crimes that you are made
aware of to ISU Public Safety.
MEMBER LIST
Must have at least ten(10) club members who are current students to be officially recognized.
1. ______________________________________________ 15. ______________________________________________
Name Bengal ID# Name Bengal ID#
2. ______________________________________________ 16. ______________________________________________
Name Bengal ID# Name Bengal ID#
3, ______________________________________________ 17. ______________________________________________
Name Bengal ID# Name Bengal ID#
4. ______________________________________________ 18. ______________________________________________
Name Bengal ID# Name Bengal ID#
5. ______________________________________________ 19. ______________________________________________
Name Bengal ID# Name Bengal ID#
6. ______________________________________________ 20. ______________________________________________
Name Bengal ID# Name Bengal ID#
7. ______________________________________________ 21. ______________________________________________
Name Bengal ID# Name Bengal ID#
8. ______________________________________________ 22. ______________________________________________
Name Bengal ID# Name Bengal ID#
9. ______________________________________________ 23. ______________________________________________
Name Bengal ID# Name Bengal ID#
10. ______________________________________________ 24. _______________________________________________
Name Bengal ID# Name Bengal ID#
11. ______________________________________________ 25. ______________________________________________
Name Bengal ID# Name Bengal ID#
12. ______________________________________________ 26. _______________________________________________
Name Bengal ID# Name Bengal ID#
13. ______________________________________________ 27. _______________________________________________
Name Bengal ID# Name Bengal ID#
14. ______________________________________________ 28. _______________________________________________
Name Bengal ID# Name Bengal ID#
15. ______________________________________________ 29. _______________________________________________
Name Bengal ID# Name Bengal ID#
16. ______________________________________________ 30. _______________________________________________
Name Bengal ID# Name Bengal ID#
For Office Use Only:
_____ Verified ID# _____ Registered Orgs List _____ Active Club List _____Funding Requirements _____Website _____Scanned to Box file