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University Student Organization Registration Application
2009-2010
Re-registering Organization New Organization
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|Name of Organization |On-Campus P.O. Box # |
|(Full name followed by acronym in parenthesis if applicable) |(If your organization would like a mailbox in the ASNAU Office, University Union Room |
| |206 – please type 6036 and a mailbox will be assigned to the organization) |
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|Organization Web Address |Organization Email Address |Facebook/MySpace Website |
OFFICER & ADVISER INFORMATION:
Officer Information (Organizations must have at least 2 officers. All officers must have a minimum 2.25 GPA. The first officer listed will be listed in publications as the organization contact. Only name and email will be listed. This officer will also be the recipient of correspondence from the Office of Student Life)
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|Name |Title |Phone # |Email Address |
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|Summer Address |City |State |Zip |School Address |City |State |Zip |
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|Name |Title |Phone # |Email Address |
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|Name |Title |Phone # |Email Address |
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|Name |Title |Phone # |Email Address |
By submitting this form, you are providing the Office of Student Life permission to disclose the current class standing and GPA of the officers listed above to the organizational Adviser. This is done only for the purpose of officer eligibility, which affects the registration status of the organization.
Full-time Faculty/Staff Adviser information
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|Name |Email Address |Phone Number |Campus PO Box |
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|Department |Faculty/Staff Position |
PLEASE NOTIFY THE STUDENT LIFE OFFICE OF ANY OFFICER/ADVISER CHANGES!
ORGANIZATIONAL DESCRIPTION:
How do you characterize your organization? Please indicate the description that best fits your organization (choose only one).
This will be the heading under which you are listed in both the on-line and printed Organizational Directory.
Academic Organization Recreation/Game Organization
Advocacy Organization Religious Organization
Club Sport Organization Residence Hall Council
Cultural Organization Service/Honorary Organization
Greek ( Social Fraternity Social Sorority) Special Interest Organization
For planning purposes, please list the major events/activities your organization plans during the year.
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ORGANIZATIONAL AFFILIATIONS:
Does the organization have affiliations with any organizations/corporations external to the University?
Yes No if yes, please list:
FUNDING:
Please list any anticipated sources of operating funds: (Dues, contributions, fund-raising, etc)
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OFFICER ELECTIONS:
|Month(s) elections are held: |
|Current officer’s term of office expires in (Month, Year) |
MEMBERSHIP:
|Approximate number of members: |
|Membership profile: Students % Faculty/Staff % |
|Criteria for membership: |
|Please describe your selection process (if any): |
By submitting this form you acknowledge that you have reviewed the information with the organization officers and adviser listed and your organization agrees to adhere to the policy stated below, the Student Code of Conduct, the University Hazing Policy, and University Rules and Regulations appropriate to student organizations and their members (as listed on the web page: nau.edu/studentlife/handbook.html).
“We agree to abide by Northern Arizona University’s policy prohibiting discrimination in organizational membership on the basis of race, color, culture, creed, religion, national origin, gender, sexual orientation, marital status, disability, age, or veteran status.”
New Organizations – print this form and obtain all necessary signatures below. Return this form, the Constitution and membership roster to
The Office of Student Life, NAU Box 6015, University Union Room 105, Flagstaff, AZ 86011. Phone: 928-523-5181 Fax: 928-523-1425
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Re-registering Organizations - attach this document and the membership roster to an email and submit to Kevin.Gemoets@nau.edu. Be sure to CC the Adviser and all listed officers on the email.
______________________________ Date _________ ______________________________ Date _________
Organization President Organization Adviser
______________________________ Date _________ ______________________________ Date _________
Coordinator, Multicultural Student Center (if applicable) Coordinator, Club Sports (if applicable)
______________________________ Date _________ ______________________________ Date _________ Coordinator, Greek Life (if applicable) Residence Hall Director (if applicable)
For Office Use Only
______________________________ Date _________ ______________________________ Date _________
President, ASNAU Student Life Staff
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Student Organization Web Page Information Sheet
2009-2010
Please read carefully
The Office of Student Life will use the information below to update a webpage specifically for your organization. This webpage will be linked from the Organization Listing that is housed in the Office of Student Life webpage. Please keep in mind only the Office of Student Life will have access to edit these pages but please feel free to add any links to websites your organization currently uses and maintains. Our website is promoted throughout many forms of publications during Orientation as well as throughout the academic year. Our hope is that these web pages will be a great recruitment tool for your organization. The Office of Student Life reserves the right to edit information submitted for the Student Life’s organization web pages.
Organization/Club Name:
Focus (i.e. social, recreational, academic, community service, etc – can be multiple selections):
Average # of members: Membership dues: $
Average hours/week to participate:
Meetings (when/where): (if you have submitted a weekly meeting request form this will be updated by the Student Life Office once your meeting space has been approved)
Facebook address: Website:
Organization email: President email:
Other contact email: Adviser email:
Organization’s Mission and/or description:
Community service/philanthropy projects/events performed on a regular basis:
Events organized by club/organization:
Why join?
Interested in joining? (how to join)
Any other information you would like to include:
PLEASE ALSO SUBMIT UP TO 3 PICTURES/GRAPHICS TO BE USED ON THE WEB PAGE. PLEASE NAME THE PICTURES AND/OR GRAPHICS WITH YOUR CLUB/ORGANIZATION NAME FOLLOWED BY A 1, 2, 3 FOR EACH INDIVIDUAL PICTURE. Please email as an attachment with this registration form to Kevin.Gemoets@nau.edu
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