Adopt-a-Kiosk Application

Registered Student Organization:
Authorized Representative Name:
Authorized Representative UT EID:
Registered Student Organization Adopt-a-Kiosk Chairperson Registered Student Organizations (RSOs) must assign a designated Adopt-a-Kiosk Chairperson. This person is not required to be an authorized representative. This person will coordinate the program for the RSO and be responsible for communicating with Student Activities.
Chairperson Name:
Chairperson UT EID:
Chairperson Telephone:
Chairperson E-mail:
Why does your registered student organization wish to participate in the Adopt-a-Kiosk program? (limit 500 characters)

Based on the Kiosk Map, select the top three (3) kiosks your registered student organization would prefer to adopt. Please note that preference will be given to the earliest applicants. Kiosk numbers not listed have been assigned to another RSO. First: Second: Third:
As an authorized representative of the above registered student organization, I agree on behalf of my RSO to the following requirements of the Adopt-a-Kiosk program: An Adopt-a-Kiosk Chairperson will attend a training session with Student Activities staff. Our RSO will inspect and clean the kiosk we adopt weekly. After each inspection, a member of our RSO will report any kiosk issues to Student Activities staff.
On behalf of my registered student organization, I agree to the above requirements. (Please check box)

If you have any questions, please contact:

Student Organization Center  
1 University Station A5800  
Austin, TX 78712-0175  
E-mail soc@austin.utexas.edu
Telephone 512-471-3065 | Fax 512-471-6273

Adopt-a-Kiosk Application

Registered Student Organization Adopt-a-Kiosk Chairperson