Clubs and Organizations Student Handbook
Appendix 6: Waiver
Appendix 7: Deposit Form
Faculty Student Association DEPOSIT FORM
WAIVER
The Class of
Council of the SUNY College of Optometry will not
From: To: Erin Angarola, College Bursar
allow anyone under 21 years of age to attend or be served alcohol at the (name of event)
Date:
Please deposit the following into the Faculty Student Association bank account, as indicated below:
on
Sub-Total Cash $
Sub-Total Checks $
$
Total Deposit for:
I,
,the Class of
President,
(Name of Program, Fundraiser, Professional Society, etc.)
state that anyone who attempts to come to this event and is underage will be asked to leave, and will not be served alcohol.
Source of funds (please check one) Contributions (5810)
Membership dues (5850)
Cap & Gown (5880)
Date:
Program Fees (5820)
Fundraising (5860)
Yearbook (5890)
Organization (please check one) Class of
Graduate Class (FGRA)
SOAPP (FPPC)
AOSA (FAOS)
Gold Key (FGOL)
Student Council (FSTU)
APHA (FAPH)
CCOSA - Chinese (FCCO)
SVOSH (FSVO)
BSK (FBSK)
NJSOA - (FNJS)
EyeBall (FEYE)
COSA - California (FCOS)
CTSAO - Connecticut (FCTS)
NORA (FNOR)
COVD (FCOV)
Lion's Club (FLEO)
CLEAR (FLCA)
CSA / CAOS - Canadian (FCSA)
NOSA (FNOS)
Vision Walk (FWLK)
Residency (FRES)
NYSOA (FNYS)
ACE (FACE)
FCO (FFCO)
SAAO (FSAA)
Other
Dr. Guilherme Albieri Vice President for Student Affairs OR Vito Cavallaro, AVP for Student Affairs Authorized Signature of Organization/Class Officer
Date:
Date:
18
19
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