STUDENT ORGANIZATION RENEWAL FORM
Student organizations must annually request renewal of official recognition from the Office of Student Life.
Active status of student organizations not requesting renewal will expire on August 31 of the current academic year.
Organization: ________________________________________ Academic Year: _______________
Advisor: ______________________________ Office: _______________ Phone: ______________
Membership Requirements: ___________________________________________________________
___________________________________________________________________________________
Organization Mission/Purpose: __________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Organization/Advisor Goal(s): ___________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Evaluation of Goal(s) (To be completed in spring): ________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Constitution and/or By-Laws: ________No ________Yes (Attach current Constitution and/or By-Laws.)
Class Credit Given: ________No ________Yes (Attach Student Information Sheet.)
Off-campus Agency Account: ________No ________Yes (Attach Agency Account Report Form.)
Organization Officers: ________No ________Yes (List officers below.)
President: ____________________________ Vice-President: ____________________________
Secretary: ____________________________ Treasurer: ________________________________
Other: _______________________________ Other: __________________________________
Other: _______________________________ Other: __________________________________
I, the undersigned, hereby request renewal of official recognition for this student organization in order that
it may continue to use the name and facilities of Bossier Parish Community College; and, I agree that the
organization shall abide by all BPCC rules and regulations as stated in the BPCC Handbook.
___________________________________________ _____________________
Organization Advisor Signature Date