Collegiate interest group (CIG) Application

We, the undersigned, hereby request approval of the Region Governor of the Society of Women Engineers for recognition as a collegiate interest group to be known as the

Collegiate Interest Group of the Society of Women Engineers at

(College or University Name Here)

CIG Requirements(Checking off this box is required.)

We agree, if the application is approved, to abide by the current version of the Roles and Responsibilities for a CIG and to conduct business in accordance with the goals, objectives and strategic priorities of the Society of Women Engineers.

All official SWE activities must be aligned and compatible with the Society’s fiscal year, July 1 to June 30.

Permanent Address

Our permanent CIG Address (which will not change from year to year) is:

Name Phone

AddressFax

City/State/ZipEmail

School Data

Approx. #of women students enrolled in engineering, technology or related programs

Approx. #of total students enrolled in engineering, technology or related programs

Dean of Engineering (or equivalent)

Name: ______Title:______

Address:______

SWE Sponsor

The Sponsor is a requirement for the CIG application. The Sponsor is a professional SWE Member Section that is willing to mentor, guide, and administer support to the CIG. The Sponsor will act as the official reporting conduit to the Society for the CIG on all matters. Refer to the CIG Roles & Responsibilities document for more details.

The Sponsor must write a letter of support and sign the application form. The Sponsor cannot be a SWE collegiate section.

Sponsor SignatureDate

Printed Name(Member Section or Region Governor)SWE Member Section Number or Region letter

Permanent Address

E-mail Address

Collegiate Members of the Proposed CIG

This form must be signed in blue or black ink by at least four (4) SWE Collegiate Members. A minimum of 50% of the CIG membership must be female SWE collegiate members. Additional members may be listed on a separate page and attached to this form.

Printed Name (first line)
Signature (second line) / Degree/ Certificate/Major / Expected Graduation Date / SWE Membership Number
T
T
T
T
T
/ T

School faculty advisor

A Faculty Advisor is a requirement for the CIG application. Many schools require a Faculty Advisor for each recognized campus organization. The Faculty Advisor is responsible for the compliance of the CIG with the rules and regulations of the school. The Faculty Advisor should be familiar with the students and the campus, as well as sympathetic to the special needs of the proposed CIG. The Faculty Advisor should be someone who is readily available to the students and who can be a valuable resource for them. The Faculty Advisor is required to provide a letter of support on the school’s letterhead endorsing the CIG. The Faculty Advisor is not required to be a SWE Member.

I hereby certify that the Degree, Certificate or Major shown for each student signing this petition is in accordance with school records and that the date of expected graduation is reasonable. I have also included a letter of recommendation on the school letterhead in support of the CIG.

Advisor SignatureDate

Printed NameSWE Grade/Membership Number (if applicable)

AddressWork Phone

Home Phone

Fax

E-mail

FINANCES: Please check one below regarding the handling of finances:

_____CIG to handle finances_____Sponsor to handle CIG Finances

Did you remember to…….

Fill in your official school name
Review CIG Roles & Responsibilities Document and Check off CIG Requirements box
Include a PermanentSchool Mailing Address and Contact Information
Include your School Data
Include College/University Dean’s Contact Information
Obtain Collegiate Member Signatures and all requested information
Obtain Faculty Advisor Signature and Contact Information
Attach Faculty Advisor Letter of Recommendation
Obtain a Sponsor and Contact Information
Attach Sponsor’s Letter of Support
Keep a complete copy of this package for your files

SWE Approval Summary(For SWE Region Governor Use)

Did the proposed CIG fulfill the following?Yes No

Fill in their official school name
Check off CIG Requirements box
Include a PermanentSchool Mailing Address and Contact Information
Include their School Data
Obtain valid Collegiate Member Signatures and all requested information.
Membership should be confirmed using the SWE member database or HQ.
Confirm CIG membership is at least 50% female.
Obtain Faculty Advisor Signature and Contact Information
Attach Faculty Advisor Letter of Recommendation
Obtain a Sponsor and Contact Information
Attach Sponsor Letter of Support

The Region _____ Governor of the Society of Women Engineers hereby approves this CIG application.

Signature of SWE Region GovernorDate

Send approved application (including all supporting documents) to SWE Headquarters for processing.