CLUB RENEWAL OF REGISTRATION FORM
Registered clubs must renew their registration by completing this form at the beginning of every
year by October 1 and submitting it to the Club Coordinator, in the Student Life Office.
OFFICIAL Name of Club ___________________________________________ Abbreviation ________
I.
Name
E-Mail
II.
Faculty advisor(s)
__________________________________________________________
__________________________Phone __________________________
Officers (PLEASE PRINT CLEARLY)
Title:
__________________________________________________________
Student ID #__________________________________________________________
Name
__________________________________________________________
Phone
__________________________________________________________
E-mail
__________________________________________________________
Title:
__________________________________________________________
Student ID #__________________________________________________________
Name
__________________________________________________________
Phone
__________________________________________________________
E-mail
__________________________________________________________
Title:
__________________________________________________________
Student ID #__________________________________________________________
Name
__________________________________________________________
Phone
__________________________________________________________
E-mail
__________________________________________________________
Title:
__________________________________________________________
Student ID #__________________________________________________________
Name
__________________________________________________________
Phone
__________________________________________________________
E-mail
__________________________________________________________
Title:
__________________________________________________________
Student ID #__________________________________________________________
Name
__________________________________________________________
Phone
__________________________________________________________
E-mail
__________________________________________________________
Title:
__________________________________________________________
Student ID #__________________________________________________________
Name
__________________________________________________________
Phone
__________________________________________________________
E-mail
__________________________________________________________
III.
Please attach a list of any additional officers and members including their
names and Student ID #s.
By completing this form and submitting it to the Student Life Office, you are authorizing
Madison College to share this information with student organizations and their members for the
purpose of including you in the activities and events sponsored by organizations.
IV.
SAB Guidelines - Requirement
Is your organization in accordance with the Organizational Policies and Guidelines of the
Madison College Student Activities Board listed below?
Yes ______
No ________
1. Every student club and organization shall have at least one advisor who is a contractual
member of the Madison Area Technical College professional staff (faculty or staff ).
2. All student clubs and organizations shall have their regularly scheduled meetings on
campus.
3. Student clubs and organizations shall not have discriminatory clauses, either overtly or
covertly, which restrict membership on the basis of color, creed, religion, sex, age,
national origin, handicap, or any other characteristics identifiable with a specific group
of people. Student organizations must be in full compliance with Title VI and VII of
the1964 Civil Rights Act, Title IX of the Education Amendments of 1972, Governor’s
Executive Order #9, and Executive Order #11246.
4. Student clubs and organizations shall not have secret or closed meetings.
5. Student clubs and organizations shall comply with all policies and procedures of the
Madison Area Technical College, to include, but not be limited to accounting,
promotional, and operational procedures.
6. Student clubs and organizations must have a minimum of ten (10) bona fide Madison
College student members before they will be registered.
7. As appropriate, all students shall have the opportunity to participate in all activities.
8. Student Activities Board funds shall not be used for political or quasi-political purposes,
for political parties, for the election of political candidates, or for the furthering of
political causes. (Programs and Events Money)
9. Student Activities Board funds may not be used for religious or quasi-religious purposes
whether recognized as established organizations, sects, or denominations, or whether
personal or non-orthodox. (Programs and Events Money)
10. To request funds, clubs and organizations must be a formally registered organization as
per the criteria set forth by the Student Activities Board.
11. All student clubs must file a report detailing their programs after the event with the Club
Council.
12. Clubs and organizations may be disciplined as necessary by the Student Activities
Board for reasons such as: 1.) Failure to comply with the policies set forth herein; 2.)
Failure to annually renew active status; 3.) Failure to comply with district board policies
and regulations; 4.) Fiscal irresponsibility.
As president or primary representative of this organization, I assume responsibility to see that all
members, especially officers, are aware of and abide by regulations pertaining to student clubs and
to see that this organization functions according to its approved constitution. The Office of Student
Life has my permission to publish the above information in its publications and on its web site. In
addition, I recognize my obligation to be this club’s representative to the Madison College
community, to receive official communications and make the contents known to the entire
membership. I understand that Madison College prohibits the practice of hazing, which is defined
as physical and/or mental harassment of new or continuing members, and that the organization of
which I am president has not, does not, and will not engage in hazing of any type and shall obey
the student code of conduct as published by the college. I have read, understand, and agree to the
statement above.
Signature of Club Representative (Student)
_____________________________________________
Date ________________