Student Club Recognition Application

Student Club Recognition Application
Please complete this application fully. Once submitted, a staff member from the Office of Student Engagement will reach out to the Primary Contact Name to schedule a meeting with the Associate Director for Student Engagement to discuss your application and recognition status.
Primary Contact Name*

First NameLast Name
Primary Contact Class Year*
Primary Contact Email*
example@example.com
Primary Contact Phone Number*
Proposed Organization Name*
What is the purpose of the organization? What are its goals and objectives?*
How will individual members benefit from the organization's activities? What will they learn?*
How will this differ from other organizations on campus?*
Identify any special requirements for membership in the organization.*

External Recognition and Relationships
Is this club associated with any other organization on a local, regional, national, or international level?*

YesNo
If yes, what organization?
Will the club be required to pay any dues or fees to this organization?

YesNo
If individuals who are not affiliated with the College will be participating in activities, name them and describe the nature of their involvement.

Officers/Advisor Information
Officers must be updated annually with the Student Activities Office.
Secondary Contact Name*

First NameLast Name
Secondary Contact Class Year*
Secondary Contact Email*
example@example.com
Secondary Contact Phone Number*
Financial Contact Name*

First NameLast Name
Financial Contact Class Year*
Financial Contact Email*
example@example.com
Financial Contact Phone Number*
25Live Schedule Contact Name*

First NameLast Name
25Live Schedule Contact Class Year*
25Live Schedule Contact Email*
example@example.com
25Live Schedule Contact Phone Number*
Proposed Advisor Name*

First NameLast Name
Proposed Advisor Department*
Proposed Advisor Phone Number*
Proposed Advisor Email*
example@example.com
On behalf of the proposed club, I certify that: The information on this application is accurate. Officers will notify the Student Activities Office of any changes to this information at any time in the clubs existence. The organization will be open for full membership and participation to any Muhlenberg College student without regard to race, religion, national origin, disability, age, veteran status, sexual orientation, and, except where allowed by law, sex. The club will comply with applicable college-wide student policies and procedures and will inform its members about these regulations. Officers understand that all materials submitted in conjunction with a request for recognition are considered public information and will be provided to any person upon request. The organization acknowledges that there may be additional requirements which must be addressed for consideration of the recognition depending on the type of organization being proposed. In lieu of signature, type your full name.*
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