University of the Incarnate Word Office of the Student Center and Leadership Activities Organization Registration Form (Please type or print)   DATE _______________________ NAME OF ORGANIZATION___________________________________________ OFF-CAMPUS ADDRESS _____________________________________________ ON-CAMPUS ADDRESS ______________________________________________ Check the one category that best describes the organization: Academic _____ Honorary _____ Recreational/Sports _____ Social _____ Service _____ Leadership _____ Religious_____ Professional _____ Special Interest _____ Cultural _____ Other (please specify) _____   OFFICERS NAME ADDRESS PHONE President     Vice President     Secretary     Treasurer     SGA Representatives     Other Officers       Faculty/Staff Advisor ___________________________ Campus Phone _________________ Home Phone ____________________ 1) What is the Purpose of the Organization? ________________________________________ _________________________________________________________________________ ________________________________________________________________________ 2) What are the requirements of membership? On what basis are members selected (grades, interest, major, vote of members, etc)? ___________________________________________ _________________________________________________________________________ _________________________________________________________________________ 3) Grade Point Average Required _______________________________________________ 4) When are officers elected? What is their term of office? ____________________________ ________________________________________________________________________ 5) This Organization is (check one): Local_____ State ______ National _____ 6) Standing Meetings: Place _________________ Time___________________ Day____________________ How Frequently_________ Other _________________________________________ 7) Will this organization regularly or annuallysponsor any activitites? Yes_____No_____ Please list all activities already scheduled and activities your organization wishes to sponsor in the future. Use another page as necessary _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ 8) On-Campus Budget/ Account Number _________________________________________ Off-Campus Account at ____________________________ Account Number ____________ 9) Are dues assessed? If yes, indicate the amount charged, when charged, and the purpose of such dues. _____________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ 10) If this organization receives money from any source other than Student Governement allocation, please state the annual amount. Also, indicate where these funds are deposited (private account, UIW account, or held by an officer.) Annual Amount___________________________ Where Deposited _____________________ A current copy of this organization's constitution and By-Laws must be included with this application. Use attached pages as guides.