Student Organization Charter Form

Burrell College of Osteopathic Medicine Student Organizations will use this form to charter a new organization or to re-charter an existing organization

Request:
*
Is this a charter for a new student organization?
- Yes
- No
Organization Description:
(activities, purpose, mission, etc.)
What makes this club unique from all of the other established clubs on campus?
Basic Info:
Organization Name:
Organization Acronym:
Did your organization used to have a different name?
- Yes
- No
What was the name?
Recognition Level:
- Interest Group (IG)
- Registered Student Organization (RSO)
Interest Group (IG) A group of students with an interest in a particular cause or topic that is generally academic in nature. Interest groups are required to register with the Office of Student Affairs and may use Burrell College of Osteopathic Medicine facilities. Interest groups are not required to have a constitution or by-laws but are encouraged to have them on file for organizational continuity. Interest groups may not collect funds.
Registered Student Organization (RSO) A registered student organization provides students with opportunities to expand and support professional, personal interests; build relationships; develop skills and experiences; allow personal growth; and engage in campus/local/global communities. Registered student organizations are required to register with the Office of Student Affairs and have both constitution/bylaws and a full-time Burrell College of Osteopathic Medicine employee advisor.
Type of Group:
Officer Information:
Officer Position: First Name: Last Name:
Authorized Members on Bank Account:
List 2 Officers who will be authorized to access the organization bank account.
Name:
First Last
Name:
First Last
Member List
(Please list at least 5 members of your organization)
Advisor Information:
Advisor Name:
First Last
Advisor Email:
Enter Email Confirm Email
Advisor Agreement of Responsibility
Only the primary advisor will need to have this on record.
Advising a student organization is an exciting opportunity to interact with Burrell College of Osteopathic Medicine students outside of the classroom setting. An advisor-advisee relationship is one that impacts students’ lives on a different level and gives students the opportunity to get to know a faculty/staff member in a different capacity. The role of an advisor will vary in some degree between organizations. As organizations vary in their expectation and needs, it is important that you develop an understanding with the organization as to the nature of your involvement. While an advisor and organization should agree on a set of expectations for one another, the following are expectations the Office of Student Affairs will have of the advisor:
- Be available to the officers and/or members of the student organization for advising and required signing of documents (e.g., financial statements, annual activity reports, etc.).
- Assist both the old and new leadership in transitioning to ensure historical continuity.
- Attend any student organization event held off-campus and/or outside of business hours on campus.
- Obtain signature authority on all financial-related student organization accounts.
- Ensure the student organization properly re-registers each academic year and submits authorized representative forms, as updates are needed.
- Meet with the duly elected or appointed organization leadership and members, as determined by the organizations constitution, as appropriate
- Allow the duly elected or appointed organization leadership to exercise primary decision-making authority with regards to the student organization’s goals, objectives, and activities within limitations of expectations.
Person Who Completed The Form:
Signature:
First Last
Date:
Date Format: MM slash DD slash YYYY
File
Drop files here or

Accepted file types: jpg, doc, docx, pdf, txt, png.
Document upload option for Constitution/Bylaws, National Charter Documents, and other relevant material.

Officer Position:	First Name:	Last Name:

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Student Organization Charter Form

Student Organization Charter Form

Request:

Basic Info:

Authorized Members on Bank Account:

Member List

Advisor Information:

Advisor Agreement of Responsibility

Person Who Completed The Form: