BRIGHAM YOUNG UNIVERSITY IDAHO

APPLICATION FOR STUDENT

ORGANIZATION ACCOUNT

 

Please fill out this form and return it to Ric Page in Kimball 210B 

 

 

 

DATE:  _____________________________

 

NAME OF ORGANIZATION/SOCIETY:  ____________________________________

 

ADVISOR:  _______________________________________________________

 

CAMPUS ADDRESS:  ______________________________________________

 

CAMPUS PHONE:  ________________________________________________

 

STUDENT PRESIDENT:  ___________________________________________

 

STUDENT TREASURER:  __________________________________________

 

 

 

 

ADVISOR SIGNATURE:  ______________________     DATE:  _________________

 

AUTHORIZED BY:  __________________________      DATE:  _________________

 

 

 

ACCOUNTING OFFICE USE ONLY   Approval: ______   Disapproval: ______   Account #:  _______________________   Date:  ____________________________