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