Student Organization Leadership Roster

Student Organization Leadership Roster

This form must be submitted at the beginning of each academic year and when changes occur.

Name of Club/Organization*

Individual Submitting Form*

Advisors

Contact Advisor*

Preferred Contact Number*

Phone

Email*

Additional Advisors

Please list the name (first and last), email, and phone number for each additional advisor.

If you call your officers something other than what is listed, please reach out to the Office of Student Life and Development.

You should be listing the required officers dictated by your club/organization constitution.

Title*

Select or enter value

Name*

Student Email*

Phone Number*

Phone

Title*

Select or enter value

Name*

Student Email*

Phone Number*

Phone

Title

Select or enter value

Name

Student Email

Phone Number

Phone

Title

Select or enter value

Name

Student Email

Phone Number

Phone

Additional Officers

Please list additional officers' full names, titles, emails and phone numbers.

Additional Members

Please list additional active members (first and last names).

I acknowledge that any Advisor or Officer changes must be made through the Office of Student Life and Development immediately.*

Send me a copy of my responses

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