New Organization Renewal Officer Change
Academic Year 2002 2003 2004 2005 2006 2007 2008 2009 2010 - 2002 2003 2004 2005 2006 2007 2008 2009 2010 Calendar Year 2005 2006 2007 2008 2009 2010
Name of Organization
Officer Elections are held	Fall  Spring	Terms of office are one semester one year

Officers assume their positions in January February March April May June July August September October November December

Does this organization charge membership dues/fees? Yes No

If yes, amount per semester per year lifetime

Organization web address:

Organization's campus address If the organization does not have a mailbox, one will be provided in the Student Activities Office

As officers/advisor of this organization, we will not discriminate against any person or activity in regards to gender, ethnicity, physical ability or sexual orientation. Our organization's purpose and activities are not in conflict with Bradley University's purpose, rules and regulations as well as state and/or federal laws. Failure to comply with said rules, regulations and laws will cause our organization to become inactive and lose all rights/privileges associated with being a registered student organization. We further agree to have our email addresses linked on the SAO website and other contact information made public upon request.

Officers (attach additional sheets if necessary)
Name Position
Phone E-mail Signature

Name Position
Phone E-mail Signature

Name Position
Phone E-mail Signature

Name Position
Phone E-mail Signature

Advisor
Name Campus Address
Department Phone
E-mail Signature

Department Approval (if required)
Name Signature
SAO Approval
Signature Date