Appendix A
APPLICATION FOR REGISTRATION AS A STUDENT ORGANIZATION
GORDON STATE COLLEGE
OFFICE OF STUDENT ACTIVITIES
Date submitted: ______________ For Academic Year: ______________
_______Re-application _______New Application
Official Name of Organization: _________________________________________________________________
Intended Purpose: ____________________________________________________________________________
___________________________________________________________________________________________
Nature of Activities: __________________________________________________________________________
___________________________________________________________________________________________
Requirements for membership: __________________________________________________________________
___________________________________________________________________________________________
Dues or Fees? ______________Annual
Other___________
Other Sources of Funding: _____________________________________________________________________
Annual Budget (est.): _________________________________________________________________________
National Affiliation: __________________________________________________________________________
Advisor’s Name: ________________________________ Title/Department: _____________________________
Campus Address: ________________________________ Phone Number: ______________________________
In signing and submitting this application, the leadership of said organization warrants that:
1. The organization’s purpose and activities are lawful and consistent with College objectives.
2. Membership is open to all regardless of race, creed, color or national origin and that it does not illegally
discriminate in membership on the basis of sex.
3. The organization will comply with the College’s policy on hazing practices.
4. The affairs of the organization will be conducted in accordance with the constitution and College
regulations.
5. The financial affairs of the organization will be conducted in accordance with sound and business
procedures and appropriate college requirements.
6. The organization will recruit and actively work with a faculty/staff advisor.
Submitted By:___________________________________
(President/Chief Executive Officer)
___________________________________
(Advisor)
Copies:
Student Activities
___________________________
(Date)
_________________________
(Date)
Required Attachments:
List of Officers
Membership Roster
Constitution
Appendix A