Student Organizations at Western Carolina University
About | Events | Outdoors | Services | Reservations | Dining | Contact | My Cat
 
2005 - 2006 Student Organization Registration Form
 
Please complete the following form. When you are finished and have checked all of your information, click the submit button.
* Notes Required Fields
New or renewing organization? *
  Please select either New or Renewing before completeing the rest of this form.
Organization name *
Type of organization *
Does your organization want a group set up in My Cat?  
Name of person filling out this form *  
Email of person filling out this form *  
CONTACT INFORMATION FOR THE ORGANIZATION:
Mailing street address *




City *  
State *
Zip *
Phone number
Email address *
Webpage address
Public contact name
Public contact email
DETAILS ABOUT YOUR ORGANIZATION:
Month new officers are elected:

Total number of all members in your organization *  
Total number of officer positions in your organization *
Off-campus group or national affiliation (if any)
Is your organization open to all students? *
If no, what restrictions does your organization have? (if any)
Breifly describe the organization's purpose or provide the organization's mission statement. *
How often does your organization meet?
Budget center code
Does your organization charge dues?
If yes, how much per semester? $/Semester
For each funding source you anticipate your organization to use during the 2005-2006 school year, please list the approximate percentage that the source will make up for your budget.  (The total of ALL must equal 100).

Dues %
Student government funding %
Fundraising

%
Alumni %
Western department %
Ticket sales

%
Corporate sponsors %
Merchandise sales %
Other funding

%
Activities for the year.  Select the appropriate activity schedule (if any) for each activity.

General Membership Meetings
Executive Meetings
Social Events (Members Only)

Other Social Events
Community Service
Create Campus Programs

Attend Campus Programs
Travel as an organization within 30 minutes of Western
Travel as an organization more than 30 minutes of Western

Events with Alcohol
Other Activities
List the programs/events planned for the 2005-2006 school year:
CONTACT INFORMATION FOR THE PRESIDENT:
First name *
Middle name
Last name *
Local street address *


City *  
State *
Zip *
Local phone number *
Email address *
Permanent street address
City  
State
Zip
Permanent phone number
CONTACT INFORMATION FOR THE VICE PRESIDENT:
First name
Middle name
Last name
Local street address


City  
State
Zip
Local phone number
Email address
Permanent street address
City  
State
Zip
Permanent phone number
CONTACT INFORMATION FOR THE SECRETARY:
First name
Middle name
Last name
Local street address


City  
State
Zip
Local phone number
Email address
Permanent street address
City  
State
Zip
Permanent phone number
CONTACT INFORMATION FOR THE TREASURER:
First name *
Middle name
Last name *
Local street address *


City *  
State *
Zip *
Local phone number *
Email address *
Permanent street address
City  
State
Zip
Permanent phone number
CONTACT INFORMATION FOR THE FACULTY/STAFF ADVISOR:
Salutation (Dr., Ms., Mr., etc.)
First name *
Middle name
Last name *
Title
Department
Office address


City  
State
Zip
Office phone number *
Email address *  
Off-campus street address
City  
State
Zip
Off-campus phone number
 

* Please check the form to verify all Required fields were filled out with valid information
Please click the Submit button once. It will take a moment for the information to be recorded.
Thank you.

Back to Student Organizations