University of the Incarnate Word Student Organization Annual Renewal Form Organization Name: _________________________________________________________ (no abbreviation please) Organization Purpose: (Organization Purpose will be used for campus/public information Please make it as specific as possible.) ________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Officers Please pring or type. Complete the blanks for all applicable positions, inculding the advisor. Circle either "Y" or "N" to indicate if this informationcan be released upon request. Your signature indicates that you are willing to accept the rights, responsibilities, and privileges associated with being a recognized student organization of the University of the Incarnate Word, that you are willing to be held responsible for all the related policies, procedures, and activities, and that you have read and are familiar with the Univesity of the Incarnate Word Hazing Policies. PRESIDENT ______________________________________________________________ Phone (H) ___________________________ (W) ________________________________ Address __________________________________________________________________ Signature ____________________________ Can this information be released? Y N   VICE PRESIDENT _________________________________________________________ Phone (H) ___________________________ (W) ________________________________ Address __________________________________________________________________ Signature ____________________________ Can this information be released? Y N   SECRETARY______________________________________________________________ Phone (H) ___________________________ (W) ________________________________ Address __________________________________________________________________ Signature ____________________________ Can this information be released? Y N   TREASURER______________________________________________________________ Phone (H) ___________________________ (W) ________________________________ Address __________________________________________________________________ Signature ____________________________ Can this information be released? Y N   SGA REPRESENTATIVE____________________________________________________ Phone (H) ___________________________ (W) ________________________________ Address __________________________________________________________________ Signature ____________________________ Can this information be released? Y N   ADVISOR__ ______________________________________________________________ Phone (H) ___________________________ (W) ________________________________ Address __________________________________________________________________ Signature ____________________________ Can this information be released? Y N   PLEASE USE A SEPARATE SHEET TO LIST THE SAME INFORMATION FOR ADDITIONAL OFFICERS. Form must be submitted by MAY 15 for the following academic year. Failure to do so will result in your organization being considered inactive. Date Submitted: _______________________ Received by: __________________________