Club Recognition FormPlease complete the required field and submit the form when you are finished. You will receive an email confirmation if the form is successfully submitted. Please be as detailed as possible. The Proposed Organization [All Fields Required] Organization Name This is the formal name that will appear in the Lawrence system Requested Abbreviation or Acronym (if applicable): Website URL (if applicable): Is the organization affiliated with any local, state, national, or international organization? No Yes If yes, list the organization(s) Leadership [All Fields Required] Please note: LUCC legislation requires a principal and secondary contact person for each student organization. Primary Contact Class Year FR SO JR SR SR+ Position SPC LU Email Secondary Contact Class Year FR SO JR SR SR+ Position SPC LU Email Treasurer's Name * Treasurer's Email Address * LUCC legislation requires that any members must be affiliated with the University. In the text box provided, please submit an up to date roster of your group including active, inactive, and officer members. Please Note: You are required to submit an updated roster at the end of EACH term during the academic year. This information is used by LUCC and the Campus Life Office to update student Co-Curricular Record on Voyager. Membership Active Membership * Of the members listed above, please identity the active and officer members of the organization. For example: "Name - President" etc. How many prospective members does the group currently have? Please note: Members described as "prospective active" must plan on attending at least 50% of meetings and events. Which members of the Lawrence community may join the organization? Please list any criteria the organization may have for membership. Please list any faculty/staff advisor(s) the organization may have. Student Organization Category * Select all categories that apply to your organization. You must select at least one category. Note about Community Service: Check this box if community engagement is an important part of your organization's mission. Arts, Music, Theater Club Sports Community Service Departmental Diversity Environmental Governance Greek Life Honor Societies Media Other Professional Programming Religious Social Justice Wellness and Recreation Engagement If your organization were to participate in team building or volunteer activities, who would be the best student leader for the Center for Community Engagement to collaborate with? Organization Causes Advocacy Animals Arts & Culture At-Risk Youth Autism Board Development Children & Youth Civic Engagement Clinical Services College Readiness Community Computers & Technology Conservation Crisis Support Dental Services Disaster Relief Domestic Violence Early Childhood Education Economic Development Education Emergency & Safety Employment Entrepreneurial Training Environment Environmental Education Faith-Based Financial Assistance Food Insecurity Gender General Service Hunger Health Homelessness & Housing Human Rights Immigrants & Refugees Incarcerated Formerly Incarcerated International LGBTQ+ Legal Services Literacy Marginalized Populations Media & Broadcasting Mental Health Services Mentor Non-Profit Business Services Nutrition Older Adults Persons With Disabilities Placemaking Politics Poverty & Basic Needs Professional Development Race & Ethnicity Research STEM Sexual Assault Social Justice Special Needs Sports & Recreation Sustainability Tutor Veterans & Military Families Victims' Services Water Conservation Workforce Development Meetings Location of Regular Meetings: Day Sunday Monday Tuesday Wednesday Thursday Friday Saturday Time * Hour123456789101112 Hour :Minute00153045 Minute am pm Frequency (weekly, biweekly, monthly, etc.) Type of Meetings: Please provide examples of the types of meetings/events the organization plans to host. Supplemental Materials Please note: LUCC legislation requires that any group seeking recognition to submit an up to date Statement of Purpose, constitution, mission statement, or other organizing document. Statement of Purpose, Constitution, or organizing document: * At least 200 words defining the purpose of the organization. Mission Statement: * At least 100 words defining the mission statement of the organization. Student Organization Blurb (50 word limit) * Similar Student Organizations * Please identify any similar student organizations that are currently recognized on campus. If there are any similar organizations, how do they differentiate from this proposed student organization? Refer to the following link for the directory of student organizations: http://www.lawrence.edu/students/student_life/activities/directory Regulations Governing Student Organizations Please be familiar with the sections of the Student Handbook regarding student organizations. These sections are labeled "Organization Finances, Organization Fundraising, and Organization Legislation". http://www.lawrence.edu/mw/Student%20Handbook%202015-16.pdf Finalizing The Application Information of person submitting the form. Your Name Organization Position LU Email Cell I hereby certify... * Please indicate your agreement...Yes...that all information submitted to the Lawrence University Community Council and the Campus Life Office and the is accurate and truthful. I also certify that I have read all pertinent legislation in the Student Handbook relating to budgets of student groups. Upon successful submission of this web form, the proposed organization's primary contact(s) will be contacted to set up a meeting with the LUCC Steering Committee. Please retain a copy for the organization's records I am comfortable with LUCC using my contact information (student email and Facebook) to publicize my recognition request on social media, should it be accepted and approved by General Council * Yes No Checklist (Information of Person Submitting This Form) Recognition Request Form Completed Updated Membership Roster Statement of Purpose and/or Constitution Mission Statement CAPTCHA This question is included to prevent automated spam submissions; it is not presented to logged-in users. Submit