UPPS No. 04.04.55, Application for Recognition of Faculty or Staff Organization
Attachment I
SOUTHWEST TEXAS STATE UNIVERSITY
Application for Recognition of Faculty or Staff Organization
Name of Organization: ________________________________________________________
Date of Application: ________________________________________________________
Liaison:
Name: ________________________________________________________
Address: ________________________________________________________
Telephone No.: ________________________________________________________
The organization applies for recognition as a faculty or staff
organization at Southwest Texas State University and Certifies that:
Yes No
___ ___ All of the organization's members are SWT faculty, staff,
students, or their families.
___ ___ A majority of the members are SWT faculty, staff, or their
families.
___ ___ A list of current members is attached to this application.
___ ___ All of the following statements are true:
1. The organization is established for lawful purposes;
2. The organization will adhere to policies of the Board
of Regents and the university.
3. The organization will not disrupt university classes
or programs.
4. The organization does not discriminate on any basis
prohibited by law.
5. The organization is compatible with the university's
mission.
________________________________________
Liaison's Signature
______________________________________________________________________________
EXECUTIVE VICE PRESIDENT'S ACTION
Date: _______________________________________________________________
This application is:
____ Approved
____ Disapproved
_______________________________________
Executive Vice President