Tennessee State University
Tennessee State University
Organization Registration Form
Student Government Association
New Registered Organization Re-Registering Organization
School Year Date Submitted
I. Name of Organization
Please Check All that Apply
Academic
City or State Club
Creative Arts (i.e. Dance, Drama, Modeling, Music)
Department
Gender-specific Male Female
Greek-Lettered
Mentoring
Pan-Hellenic
Professional (i.e. Business, Law)
Religious
Residence Hall
Service
A. If organization is a Department Organization, please indicate the department and department head
(Department)
(Department Head)
B. If organization is an affiliate of a national body, please fill in below:
Name of Regional Director
Address
Street Number City State Zip
Name of National Body
Address
Street Number City State Zip
C. Do You Have an Intake Process?
Yes No
II. Number of Members
III. Frequency of Meetings
IV. Place
V. Time
VI. Organization’s Mailing Address and/or Campus P.O. Box
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VII. Officers & Advisors
Note: List All Officers and Advisors with Accurate Contact Information (Print)
|Name |Title |Ph. Number |Email |
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VIII. Organization Profile
Note: Please Provide a Statement of Purpose of Organization and a Brief Description of Activities, constitution, and Regular Events of Organization (Provide Attachment if Necessary) _______
Registration Fees:
Small Org. (5-20 members) $ 50.00
Med Org. (21-40 members) $ 75.00
Large Org. (41-above members) $ 100.00
Organization’s President’s Signature
Organization Advisor’s Signature
*NOTE: Return to Student Activities- FPCC Room 209, or, P.O. Box 9548
Approved: (SGA Vice President)
Approved: (Student Activities Director)
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