Plaster Student Union
Application for Allocation of 2016-2017 Student Organization
Office/Locker Space for Recognized Missouri State Student Organizations
1. Name of student organization
2. Number of active members
3. Name and campus address of responsible officer:
Phone number
Email address
4. Name and department of faculty/staff advisor:
Campus phone number
5. Our student organization is applying for: Office space
Locker space
6. In what office assignment priority category do you believe your organization should be considered?
(See description below.) A
B
C
Please explain: (If necessary, include organization mission statement)
Category A is reserved for the following organizations. These organizations will be given first priority to
be assigned space provided each submits a completed application packet.
Interfraternity Council
National Pan-hellenic Council
Student Activities Council
Student Government Association
Panhellenic Association
Category B is reserved for student organizations, which provide services to the entire campus community.
These groups can be cultural or educational whose programs and activities appeal to a diverse population,
and whose members make outreach efforts beyond their particular interest groups, to education and involve
others in those activities.
Category C is reserved for organizations, which represent the daily interests, and needs of a specific
cultural, racial or national group, or which provide special interests, professional/academic, recreational, or
vocational programs primarily for their members and those of like interests.
7. Does your organization currently have office and/or locker space on campus other than Plaster Student
Union? Yes
If “yes” where?
No
8. What is the anticipated number of office hours to be maintained per week in the next year? (If applying for
locker space only, skip to question #10.)
Day
Night
9. Sometimes two groups are assigned to share a desk due to the number of requests for space and the limited
number of desks available. Please select the most accurate statement(s) and fill in any blanks. You may
check more than one.
Please note that the Allocation Committee will use this information to make the best decisions
possible, but it may not be possible to grant all requests.
If need be, my organization wants to share a desk with
If need be, my organization wants to share a desk with an organization that has a similar purpose to our
own.
If need be, my organization wants to share a desk with an organization that has a different purpose from
our own.
If need be, my organization does not have a preference with whom to share a desk.
My organization believes that the scope of our activities in the office requires us to have our own desk
space (not shared). Check off any statement(s) above to denote your preference if we cannot meet this
request (required) and justify this statement on the following page (required).
Justification for non-shared desk
10. Indicate special considerations related to your organization that may affect the decision to assign office
and/or locker space:
11.Please attach the following documents to the Office Space Application.
A. The current membership list, indicating current club officers.
B. A list of services, program, or activities your organization has provided in the past academic year
that validate the placement of your organization in its Office Assignment Priority Category.
Please also give an estimate of who and how many attended your programs. (e.g. members only,
members of particular organization focus group, only persons with a special interests, members
of the entire University community, etc.)
C. A list of services, programs, or activities that your organization has planned for the next year.
I,
, certify that the information on this application and accompanying
attachments is accurate to the best of my knowledge. I also understand that any falsification or omission of
information will be cause for rejection of this request or cancellation of any allocated space.
Date:
Position
Student Organization
Signature
(Print application before signing – must be actual signature)
(Please have your Missouri State faculty or staff advisor sign the statement below.)
I,
, as official Missouri State advisor to the above named organization.
Feel that this group has accurately completed the attached application and is fully registered with the Office of
Student Engagement, and would benefit by being allocated office space in the Plaster Student Union.
Date
Office/Dept
Telephone Number
Signature
(Print application before signing - must be actual signature)
THERE WILL BE A MANDATORY MEETING THURSDAY, APRIL 21st
2016 PSU 313(Parliamentary Room) 10-11:00am, FOR GROUPS THAT
RECEIVE OFFICE ASSIGNMENTS. AN OFFICER OF THE STUDENT
ORGANIZATION MUST BE IN ATTENDANCE (PREFERABLY
PRESIDENT OR AN OFFICER FOR THE 2016-2017 YEAR IF ELECTIONS
HAVE BEEN HELD). THIS IS ALSO WHEN OCCUPANCY AGREEMENTS
WILL BE COMPLETED.
Return this application to the Office of Student Engagement PSU 101
Deadline Friday, February 29th @ 4pm