USG Senator Affidavit Form 2022-2023
Welcome to the "USG Senator Affidavit Form" for the 2022-2023 academic year. Please submit your responses prior to the USG Senate meeting on September 9th, 2022. Once your affidavit has been received, you will be added to the USG Senate Listserv and given permissions on SenWeb. Please reach out to USG President of Senate, Jaideep Kakar, at firstname.lastname@example.org if you have any questions.
IU Email Address:
Student ID Number:
Name of Organization/Council:
What school is your organization affiliated with? If your organization is not affiliated with a school, please select "None."
School of Dentistry
School of Education
School of Engineering and Technology
School of Health and Human Sciences
Herron School of Art and Design
School of Informatics and Computing
Kelley School of Business
School of Liberal Arts
Lilly Family School of Philanthropy
Robert H. McKinney School of Law
School of Medicine
School of Nursing
Paul H. O'Neill School of Public and Environmental Affairs
Richard M. Fairbanks School of Public Health
School of Science
School of Social Work
Name of Advisor:
Advisor Email Address:
Name of Organization/Council President:
President Email Address:
Do you plan on being your organization's USG Senator for the fall and spring semesters of the 2022-2023 academic year?
By checking this you affirm that you will be able to attend in-person Senate meetings every Friday from 11:00 am to 1:00 pm.
Please make an account on
, this will be used to join the speakers list and vote in Senate. Please use your IU email to register. [Please note this is separate from IU's CAS system.]
Please check this box to affirm that you know you will be added to the USG Senate Listserv. This listserv will be used to send regular updates and information regarding Senate to Senators.
By completing this document, you acknowledge that you have and understand the duties of a senator as outlined in the Undergraduate Student Government (USG) Constitution, as well as listed below.
Duties to the Constituency:
a. Senators elected from a student organization or council shall report to their School Council, student organization, or another recognized constituency, at their regular meetings in order to keep their group informed of USG issues, projects, and events.
Duties to the Senate:
a. Senators shall be present at all regularly scheduled Senate meetings. Regularly scheduled Senate meetings for the 2022-2023 school year will be every Friday from 11am-1pm.
b. As outlined in the USG constitution, a senator shall miss no more than the
scheduled Senate meetings
per academic year
. If a senator misses more than three (3) regularly scheduled senate meetings, their voting privileges and status as a senator will be removed. An e-mail will be sent to both the advisor and president of the council/organization, detailing the events, and asking for a new replacement senator.
c. No alternate senators will shall be allowed. However, a representative may be sent to Senate meetings to keep the senator up to date on Senate events. This will still count as an absence.
d. Senators shall confer with other members of their council/organization to gain opinions on Senate events. Senators are representatives of their council/organization and are encouraged to gather opinions on Senate projects so said senator shall vote in accordance with the views and opinions of their entire organization.
By my signature below, I authorize the Indiana University-Purdue University Indianapolis (IUPUI) Dean of Students to verify that I am in good academic standing per the requirements to seek a position under the USG constitution.
By my signature below, I also agree that I will follow and uphold all rules and guidelines that are outlined within the Student Code of Rights, Responsibilities, and Conduct of the USG Constitution.
If I violate any of these rules, I understand and will accept the consequences of my actions for violating these policies.
If you have any questions regarding this form please email Jaideep Kakar, the President of Senate at email@example.com