In order to have your student organization considered for “recognized” status by USG, please complete all of the following information and submit this form. You will be contacted by the USG Rules and Regulations Chair and required to submit a copy of your organization’s constitution. You may also be asked to provide minutes from your organization’s meetings and proof of sponsored campus events.

Name of organization

Briefly state the fundamental purpose of your group as a student organization at Buffalo State.

Date the group became active on the Buffalo State campus

Contact Person (Must be a registered student)

Name

Address

Phone Number

Title or Position

National/International or any off-campus affiliation

Name of organization

Contact Person

Address

Phone Number

List all of the elected officers of the organization

President

Name

Address

Phone Number

E-mail

Vice President

Name

Address

Phone Number

E-mail

Treasurer

Name

Address

Phone Number

E-mail

Secretary

Name

Address

Phone Number

E-mail

Other

Name

Address

Phone Number

E-mail

Name of Faculty/Staff Advisor

Name

Department

Building/Office

Phone

Name at least 10 activity fee paying Buffalo State students who are members of this organization and are not officers listed above

Please include Name, Address and Phone number

List some of the specific events, activities and services you have sponsored on the Buffalo State campus, with dates (you may be required to expand on this list at a later date)

List a sampling of the specific events, activities and services you would like to offer if you become a recognized USG organization

Student Agreement

As organizer of this proposed student organization, I have read and understand the rules and regulations for the conduct of recognized student organizations, established by the United Students Government and Buffalo State College. I affirm that if recognized, this group will abide by these rules and regulations.

Applicant's Full Name

 I Accept the above

Please put the characters below into the text field to complete the form