WEST VIRGINIA UNIVERSITY

STUDENT ORGANIZATION SERVICES

PETITION FOR STUDENT ORGANIZATION

UNIVERSITY RECOGNITION

 

DATE_________________________

NAME OF ORGANIZATION_______________________________________________

MAILING ADDRESS_____________________________________________________

______________________________________________________________________

E-MAIL ADDRESS_______________________________________________________

WEBSITE ADDRESS_____________________________________________________

CLASSIFICATION (CIRCLE ALL THAT APPLY)

AFFILIATION

NAME AND ADDRESS OF ORGANIZATION WITH WHICH AFFILIATED:

______________________________________________________________________________________________________________________________________

___________________________________________________________________

PURPOSE_____________________________________________________________

______________________________________________________________________

MEMBERSHIP QUALIFICATIONS__________________________________________

______________________________________________________________________

CURRENT MEMBERSHIP SIZE______________________

FINANCES: INITIATION FEE______________________

ANNUAL DUES_______________________

BANK ACCOUNT(S):

CHECKING ACCOUNT#__________________

SAVINGS ACCOUNT#___________________

 

 

SCHEDULED MEETINGS:

Location____________________________________________________

Frequency__________________________________________________

Day & Time_________________________________________________

ELECTIONS: Month of Election__________________________________

Term of Office_____________________________________

OFFICERS: (Must be full time student, at WVU Morgantown, with at least a 2.0 cumulative G.P.A.)

PRESIDENT

Name___________________________________________________________

Address__________________________________________________________

Phone___________________________________________________________

E-Mail___________________________________________________________

VICE PRESIDENT

Name___________________________________________________________

Address__________________________________________________________

Phone___________________________________________________________

E-Mail___________________________________________________________

SECRETARY

Name___________________________________________________________

Address__________________________________________________________

Phone___________________________________________________________

E-Mail___________________________________________________________

TREASURER

Name___________________________________________________________

Address__________________________________________________________

Phone___________________________________________________________

E-Mail___________________________________________________________

ADVISOR (Must be a full time staff member. Medical Corporation employees are not eligible)

Name___________________________________________________________

Department_______________________________________________________

Position__________________________________________________________

Address__________________________________________________________

Phone___________________________________________________________

E-Mail___________________________________________________________

 

 

PRESIDENT’S STATEMENT: "I certify that the preceding information is accurate. I have read the Requirements for Student Organizations, the West Virginia University Code of Student Rights and Responsibilities, and the West Virginia Anti-Hazing Law, and I understand that as the president of this organization, I can be held responsible for its actions"

___________________________________________

President’s Signature Date

___________________________________________

President’s Printed Name Date

ADVISORS:

  1. All student organizations are required to have an advisor who is a full time staff or faculty member of the University.(WVU Morgantown campus)
  2. Student organizations should consult with advisors on all matters involving activities, budgeting, and policy.
  3. All requests for permission to solicit funds in campus, reserve space in facilities and to request funds from Student Administration Bureau of Finance, must include the advisor’s written approval.
  4. Advisors are expected to be actively involved in the affairs and operation of the organization.
  5. Notification of change of advisors must be submitted in writing to the Student Organization Services Office within 2 weeks of change.

ADVISOR’S STATEMENT: "I have examined this student organization petition and the attached copy of the constitution, and I am willing to serve as advisor to this organization."

____________________________________________

Advisor’s Signature Date

____________________________________________

Advisor’s Printed Name Date

IF THE ORGANIZATION IS IN ANY WAY AFFILIATED WITH A COLLEGE, SCHOOL, OR DEPARTMENT, THE AUTORIZATION OF THE DEAN, DIRECTOR, OR CHAIR MUST BE OBTAINED.

DEAN OR DIRECTOR STATEMENT: "I have examined this student organization’s petition and the attached copy of the constitution and authorize their status as a student organization within our college/school."

__________________________________________

Dean/Director’s Signature Date

__________________________________________

Dean/Director’s Printed Name Date

__________________________________________

School, College or Department Date