Wayne State University

AIM HIGHER

Dean of Students Office
5221 Gullen Mall
351 Student Center
(313) 577-1010
doso@wayne.edu

HOME > CLUB SPORTS TEAM RECOGNITION FORM

2009-2010 Club Sports Team
Recognition Form
* = required field

If you have new officers, you must complete the Officer Change Form and e-mail the completed form to: ad2062@wayne.edu

NOTE: If a new president is elected during the academic year, you must resubmit this form.

PART I: Club Sports Team Information

The club sports team can provide a written approval from the Club Sports Advisor
Yes No
*All teams must have written approval from the Club Sports Advisor before being officially approved. The 2009-2010 Club Sports Advisor is Aaron Knieper, aknieper@busops.wayne.edu (313) 577-6712

Name of Club Sports Team:
*

Campus Address:
(This address will be published)

*
Please include:
Street Address, Building, Room Number/Mailbox Number in the Student Center Building

Office Phone/Public Number:
(This number will be published)

*

Web Address:
(This address will be published)

Group E-mail
(if applicable):
(This address will be published)

Coach/Manager: *

Coach/Manager Phone:
*

Coach/Manager
E-mail:

Category: Club Sports

Web Coordinator Name:

Web Coordinator
Student ID #:

Web Coordinator Phone:

Part II: List ALL Officers
(as stated in your constitution)
INFORMATION MUST BE COMPLETE AND ALL OFFICERS MUST BE CURRENTLY REGISTERED WSU STUDENTS. Only names of the officers and their positions will be published.

Officer #1 Name: *

Officer #1
Student ID #: *

Officer #1 Position: *

Officer #1 Address: *

Officer #1 City: *

Officer #1 State: *

Officer #1 Zip Code: *

Officer #1 Phone: *

Officer #1 E-mail: *

Is Officer #1 authorized to sign financial and other university forms on behalf of this organization?:

Yes
No *

Part III: Additional Officers

Officer #2 Name:
*

Officer #2
Student ID #:
*

Officer #2 Position: *

Officer #2 Phone: *

Officer #2 E-mail: *

Is Officer #2 authorized to sign financial and other university forms on behalf of this organization?:

Yes
No *

Officer #3 Name:

Officer #3
Student ID #:

Officer #3 Position:

Officer #3 Phone:

Officer #3 E-mail:

Is Officer #3 authorized to sign financial and other university forms on behalf of this organization?:
Yes
No

Officer #4 Name:

Officer #4
Student ID #:

Officer #4 Position:

Officer #4 Phone:

Officer #4 E-mail:

Is Officer #4 authorized to sign financial and other university forms on behalf of this organization?:
Yes
No

Officer #5 Name:

Officer #5
Student ID #:

Officer #5 Position:

Officer #5 Phone:

Officer #5 E-mail:

Is Officer #5 authorized to sign financial and other university forms on behalf of this organization?:
Yes
No

Officer #6 Name:

Officer #6
Student ID #:

Officer #6 Position:

Officer #6 Phone:

Officer #6 E-mail:

Is Officer #6 authorized to sign financial and other university forms on behalf of this organization?:
Yes
No

Officer #7 Name:

Officer #7
Student ID #:

Officer #7 Position:

Officer #7 Phone:

Officer #7 E-mail:

Is Officer #7 authorized to sign financial and other university forms on behalf of this organization?:
Yes
No

Officer #8 Name:

Officer #8
Student ID #:

Officer #8 Position:

Officer #8 Phone:

Officer #8 E-mail:

Is Officer #8 authorized to sign financial and other university forms on behalf of this organization?:
Yes
No

Officer #9 Name:

Officer #9
Student ID #:

Officer #9 Position:

Officer #9 Phone:

Officer #9 E-mail:

Is Officer #9 authorized to sign financial and other university forms on behalf of this organization?:
Yes
No

Officer #10 Name:

Officer #10
Student ID #:

Officer #10 Position:

Officer #10 Phone:

Officer #10 E-mail:

Is Officer #10 authorized to sign financial and other university forms on behalf of this organization?:
Yes
No

Part IV: Agreement Terms

Approximate Number of Active Members:
*
Must be currently registered students

Recognition and Privileges
1) In accordance with university policies and procedures, all club sports that are properly registered with Campus Recreation and formally recognized by the Dean of Students Office are entitled to certain privileges. These privileges include:

• Reservation of university facilities based upon availability
• A free sports club mailbox in Room 50 SCB

Club sports cannot:

• Receive funding from the Student Council
• Apply for an office or storage space in the Student Center Building
• Claim to be anything more than a Club Sport registered/recognized by the university.

2) To the best of my knowledge, ALL of the members of this organization are registered students at Wayne State University.

3) Eligibility & Recognition Procedures
(please click on this link)

4) I agree to inform all members of my Club Sports Team that participation in Campus Recreation / Club Sports is completely voluntary and therefore Campus Recreation, Business Operations and the University accept no responsibility for injuries sustained while participating in any facet of Campus Recreation / Club Sports.

I HAVE READ AND AGREE TO THE PRECEEDING CONDITIONS AS REQUIRED FOR UNIVERSITY RECOGNITION

Agreement to Terms Above:
Yes, I agree to these terms *

Current Month: *

Current Year: *

Description of this Club Sports Team:
(This information will be published)

( You may enter up to 1000 characters. )
*
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