OFFICE OF STUDENT ENGAGEMENT AND LEADERSHIP
Student Organization Update Form
Favrot Student Union, 218 x3334
This form is not a substitute for the application to register your organization. IF YOUR ORGANIZATION DID NOT
REGISTER IN THE FALL SEMESTER, DO NOT COMPLETE THIS FORM. Please complete the charter renewal
form. This form is to be used only to UPDATE INFORMATION AND TO RE-CERTIFY FOR THE SPRING
SEMESTER. All information must be current with the Office of Student Engagement &Leadership. (SEAL). You are
required to submit new information within 7 days of any changes; this includes changes to the organizations’ constitution
(national or campus chapter) organization leadership and advisor. Membership roster must be current for each semester.
COMPLETE ALL information below to register for the spring semester.
Please type information
Name of Your Organization_________________________________ Chapter ___________________________
Name (President):_______________________________Telephone Number ____________________________
Your organization’s official GSUE-mail________________________Semester___________Date:___________
For changes check nature of change: Organization Name Change_____ New Organization Officers___
Organization Purpose___ New Advisor
________
President
Vice President
Secretary
Treasurer
Name
Student I D
Number
Local
Address
City/State
Zip Code
Telephone
Personal
Email
Signature
Organization
Address: ________________________________________________________________________________________
Telephone: _____________________________________________________________________________________
New Meeting Day/Times/Location ___________________________________________________________________
Organization Purpose: ___________________________________________________________________________
Semester Membership Intake Information
Will your organization conduct membership intake this semester _____Yes? ____No?
If yes, please submit authorization form national office prior to beginning intake activities.
Membership Dues $________________ This is an increase of $___________
SOC Representative or GSU-NPHC Council Delegate(s): ________________________________________________
Address: __________________________________________________________________________________
Pho. #: ______________________Cell # ____________________Email: _______________________________
Advisor One (Senior Advisor)
Advisor Two (Assistant Advisor)
Name:
Name:
Address:
Address:
Department:
Department:
Phone Number:
Phone Number:
Signature
Signature
If this is a new advisor, a signed resignation memo/statement from the prior advisor must accompany this form; or, the
past advisor may notify this office via email that they are no longer affiliated with this organization)
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