Student Organization EMU Fund Application
Last Revised July 2011
DATE: __________
**The following information (please print) is required before a fund is established**
Name of Organization:_____________________________________________________
Name of Org. contact:________________________ Phone number:________________
Organization’s campus mail address:__________________________________________
Organization must be recognized by the Campus Life Office with current information on
the Student Org Web Portal?
How will revenue be generated?______________________________________________
________________________________________________________________________
How will funds be utilized?
________________________________________________________________________
Names and titles of officers:
Title/Position Name
President
Vice President
Treasurer
PRINT NAMES of Authorized signers as listed on the Student Org Web Portal:
Title/Position Name
Faculty/Staff Advisor
EID#:
President
Vice President
Treasurer
EMU Faculty/Staff Advisors campus phone &campus mail address:
________________________________________________________________________
Faculty/Staff Advisors signature:
Please forward completed application to:
Accounting Department, 212 Hover or email to busfin_generalaccounting@emich.edu
The fund will be officially opened upon receipt of the first deposit.
**No disbursement can be made from the fund in excess of the fund balance.**
DO NOT WRITE IN BOX – FOR ACCOUNTING PURPOSES ONLY
Received by: Approved by: Completed by:
Received Date: Approved Date: Completed Date:
Fund Number: Org Number: 200001 Program Number: 80
