University of the Virgin Islands Student Activities: Revised Fall 2013 Appendix A Student Organization Registration University of the Virgin Islands - St. Thomas Campus Name of Organization ________________________________________________________________ Purpose of Organization ______________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Membership Qualifications ____________________________________________________________ ______________________________________________________________________________________ Please Print _____________________ __________________ ____________ ___________ Name of the Advisor e-mail address Office/Department Telephone # _____________________ __________________ ____________ ___________ Name of the President e-mail address Campus Box # Telephone # _____________________ __________________ ____________ ___________ Name of the Vice President e-mail address Campus Box # Telephone # _____________________ __________________ ____________ ___________ Name of the Treasurer e-mail address Campus Box # Telephone # _____________________ __________________ ____________ ___________ Name of the Secretary e-mail address Campus Box # Telephone # _____________________ __________________ ____________ ___________ Name of the e-mail address Campus Box # Telephone # Public Relations Officer SUBMIT THIS REGISTRATION WITH YOUR CONSTITUTION. DO NOT WRITE BELOW THIS LINE. This is to certify that the above named organization is duly registered as a bonafide Student Organization of the University of the Virgin Islands for the 2013-2014 academic year. Certified: Office of Student Activities St. Thomas Campus ______________________________________ Date