ROSE-HUL MAN INSTITUTE
OF TECHN OLOGY
I N T E N T I O N TO O R G A N I Z E A N E W S T U D E N T O R G A N I Z A T I O N
Proposed Name of Organization:
Purpose of Proposed Organization:
Is this organization affiliated with any local, national, or international organizations?
Y
N
If yes, please provide details:
Prospective Members:
Student Contact Name:
Signature:
Date:
Please list the names of those RHIT students who are interested in membership in the proposed organization.
You may attach another page if needed.
Advisor:
I am willing to serve as the Faculty Advisor for the aforementioned organization, and agree to notify the
Student Activities Office if I decide to terminate this affiliation.
Advisor’s Name:
Department:
Signature:
Telephone:
Date:
Constitution:
Please attach a proposed Constitution for this organization.
Office Use Only
Date Received
Decision
Student Affairs Committee Review Date
Completed New Student Organization Orientation
Return completed forms and direct questions to the Student Activities Office