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Affidavit for Faculty or Staff Organizations

No organization may become registered or remain registered at a component institution as a faculty or staff organization unless the membership of the organization is restricted to the faculty or staff of that component institution. At the time of application for registration and at the beginning of each semester that an organization is registered as a faculty or staff organization, each such organization shall file with the appropriate officer at the component institution an affidavit executed by the president, chairman, or other appropriate official of the organization stating that the organization does not presently have, nor during any period of registration will it have, as a member any person who is not a member of the faculty or staff of the institution. If the chief administrative officer of the institution, or his designated delegate, determines that the statements in such affidavit are false, registration shall be denied, or if it is determined that such affidavit has become false during any period of registration, such registration shall be canceled. (Part One, Chapter III, Section 34, Subdivision 34.3, Rules and Regulations of the Board of Regents of The University of Texas System.)

If you have not done so this semester, please submit to the office of the Vice President for Business Affairs this affidavit. This completed form must be submitted within 30 days after the beginning of the semester except for summer session when the completed form is due within two weeks after the beginning of the first summer session.



BEFORE ME, the undersigned authority, on this day personally appeared

______________________, who after being by me duly sworn upon oath says:

I, ______________________, who am the authorized representative of

________________________________, and I have read the
(registered faculty or staff organization)

Regents' Rules and Regulations set out above and do hereby state that

_________________________________ does not and will not during the
(registered faculty or staff organization)

(annual fall semester registration, spring semester, summer session) have as a

member any person who is not either a member of the faculty or staff of the Institution.

(Please circle the applicable semester.)


Subscribed and sworn to before me by the said ______________________________ this

_____ day of ___________, ____, to certify which witness my name and seal of office.

Notary Public in and for the State of Texas

Return to UTSA Handbook of Operating Procedures, Section 4.23