Dr. Terry R. Bacon Leadership Center > Registered Student Organizations

RSO Registration Form

Register before November 3, 2011 in order to receive $100 initial allocation.

Deadline for RSO registration is March 1, 2012. Once approved by the Financial Allocation Board and ASFLC your RSO will have access to funding & facilities use.

**This form must be completed electronically. When you are finished
entering all information, please press submit at the bottom of the page**

Name of Organization:

Organization Status:

New Organization
Existing Organization/Renewal

Description:

Give a brief description of the purpose of
your proposed student organization. This
description will be used as the official description
of the RSO in any ASFLC or The Leadership
Center (TLC) publications including the Fort
Lewis College Website. DO NOT PUT "SAME
AS LAST YEAR."

Membership Requirements, if any:

(To receive funding, the RSO may NOT
limit membership based on any protected
class, see section 1.1)

Primary Goals of Organization:

Events/Activities:

Please list some events or activities
that you would plan to reach the goals
you have described above.

Organization Size:

Please list the number of students your
organization plans to reach if approved.

Revenue:

Does your organization plan
to generate revenue?

Yes
No

Revenue Sources:

If yes, what would the sources of
this revenue be?

Organization Website:

Officer Information: RSOs must have at least THREE DIFFERENT members fulfilling the roles below and an advisor (FLC staff or faculty) in order to be approved. Should these officer titles not apply to your organization,
change them as appropriate. Fort Lewis College e-mail addresses MUST be used and listed below for all officers and advisor. Each organization is required to have a president and a treasurer.

PRESIDENT

Name:

Local Address:

FLC Email:

Phone:

FLC ID Number:

VICE PRESIDENT

Name:

Local Address:

FLC Email:

Phone:

FLC ID Number:

SECRETARY

Name:

Local Address:

FLC Email:

Phone:

FLC ID Number:

TREASURER

Name:

Local Address:

FLC Email:

Phone:

FLC ID Number:

ADVISOR

Name:

FLC Email:

Phone:

I, the President of the aforementioned RSO of Fort Lewis College do hereby affirm to Fort Lewis College that the organization represented by my signature does comply with the following agreement on membership in the Student
Organization adopted by Financial Allocation Board, Associated Students of Fort Lewis College, and Fort Lewis College. I acknowledge that Registered Student Organizations are not covered by the State of Colorado Division of Risk Management. I understand that members assume all risk and liability related to participation in this student organization. In addition, I agree that all organization members will be informed of this fact. By typing my name below, I understand that the RSO President's information will be publicized in the Student Directory, online, and in other campus publications.

President's Typed Signature:

Date of Signature:

Select Date

Advisor's Typed Signature:

Date of Signature:

Select Date

Submit