Club Recognition Form

Complete this form to apply for club recognition.

Club Name *
Club Purpose *
Please choose your club's "home" campus

Please choose your club's "home" campus Middletown Newburgh We are a combined NWB/MDTN club
Club Meeting Day *
Club Meeting Time Club Meeting Time * : HH MM AM/PM
Club Meeting Location (Must book room with CSI) *
Club Advisor(s) *
Club Advisor Email *
Club Advisor 2 (if applicable)
Club Advisor 2 Email (if applicable)
Club President *
Club President SUNY Orange E-mail *
Club Vice President *
Club Vice President SUNY Orange E-mail *
Club Treasurer *
Club Treasurer SUNY Orange E-mail *
Club Secretary *
Club Secretary SUNY Orange E-mail *
Student/Advisor Agreement

By signing this, the student agrees to

Keep the Advisor informed of all plans, concerns and activities.
Provide the Advisor with copies of all correspondence.
Invite the Advisor to all events and activities.
Make all financial transaction documentation available to the Advisor and ensure the Advisor’s signature is on all vouchers (check requests).
Plan officer meetings in consideration of the Advisor’s schedule.
Consider the advice and counsel of the Advisor in making decisions.
Draw your signature into the box below. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Members List

Please list all members of your club NOT including officers
Name Name * First Last
SUNY Orange Email *
Name Name * First Last
SUNY Orange Email *
Name Name * First Last
SUNY Orange Email *
Please list the remaining members in this format (Name, SUNY Orange Email)
Please upload your club constitution. *

Attach Files

Club Recognition Form

Club Recognition Form

Student/Advisor Agreement

Members List