RECOGNITION FOR STUDENT ORGANIZATION USA-SAW-F07

APPLICATION FORM I
AY 20 ___ - 20 ___ Revision No. 0

Date of Effectivity January 28, 2016

STUDENT AFFAIRS AND WELFARE OFFICE
UNIVERSITY OF SAN AGUSTIN Issued by SAW
ILOILO CITY
Page No. Page 1 of 6

Date Applied:________________________

Name of Organization: _______________________________________________________________________

(College/Department)
College/Departmental Council: _______________________________________________________________
(College/Department)
Supreme Council College Council Departmental Organization

Campus wide Kababayan Other Specify __________________________________

Renewal: New:

TYPE/NATURE OF ORGANIZATION: Place an “x” or check mark by each of the descriptions that best describes your
organization.

Academic Athletic Political Social

Religious Recreation Cultural Service

Sorority/Fraternity Other Specify ____________________

AFFILIATION WITH OTHER GROUPS, IF ANY: National Regional Local

PURPOSE/OBJECTIVE OF ORGANIZATION:

_________________________________________________________________________________________
MEMBERSHIP REQUIREMENTS:

FACULTY ADVISER/S: (He/She must be a permanent, regular/full-time faculty member/administrative personnel of

the University. Advisers are allowed to have a maximum of 2 organizations only.)___________________________
Name of Adviser/s: Department/College:

__________________________________ __________________________________

__________________________________ __________________________________

STUDENT FILING APPLICATION: _________________________________________________________

(Printed Name & Signature) (Department/College)
ADDRESS: ______________________________________________ PHONE NUMBER: ______________

NO STUDENT ORGANIZATION (INCLUDING FRATERNITIES AND SORORITIES) SHALL BE FORMED AND SHALL
OPERATE WITHIN THE CAMPUS UNLESS DULY ACCREDITED BY THE OFFICE OF THE DIRECTOR FOR STUDENT
AFFAIRS AND WELFARE, IN ACCORDANCE WITH THE RULES AND REGULATIONS OF THE UNIVERSITY AND THE
LAWS OF THE COUNTRY. STUDENT ORGANIZATION MAY FORM ONLY AFTER THE APPROVAL OF AN
APPLICATION FOR RECOGNITION TO BE FILED AT THE OFFICE OF THE DIRECTOR FOR STUDENT AFFAIRS AND
WELFARE. UPON COMPLIANCE WITH THE REQUIREMENTS, THE OFFICE OF THE DIRECTOR FOR STUDENT AFFAIRS
AND WELFARE WILL ISSUE A CERTIFICATE OF RECOGNITION (COR). THE CERTIFICATE OF RECOGNITION IS VALID
FOR ONE SCHOOL YEAR ONLY.

Signature: _________________________________________________ Date: ____________________________

Please return this form to the Student Affairs and Welfare Office on or before ____________________________