Fraternity and Sorority Leadership Change Form

Fraternity and Sorority Leadership Change Form Fraternity and sorority outgoing presidents: Please complete this form within 48 hours of chapter elections or if your organization has any officer changes. All fields applicable to your organization must be complete. Thank you, Fraternal Leadership & Learning Leadership Change Form Organization Name [Required] - Select only one choice. - must select a value. [ ] Alpha Phi [ ] Alpha Delta Pi [ ] Alpha Kappa Alpha Sorority, Inc. [ ] Alpha Tau Omega [ ] Alpha Omicron Pi [ ] Beta Theta Pi [ ] Chi Omega [ ] Chi Psi [ ] Delta Gamma [ ] Delta Psi [ ] Delta Sigma Theta Sorority, Inc. [ ] Delta Delta Delta [ ] Kappa Alpha [ ] Kappa Alpha Psi Fraternity, Inc. [ ] Kappa Delta [ ] Kappa Sigma [ ] Omega Psi Phi Fraternity, Inc. [ ] Kappa Alpha Theta [ ] Phi Beta Sigma Fraternity, Inc. [ ] Kappa Kappa Gamma [ ] Phi Kappa Tau [ ] Phi Mu [ ] Phi Delta Theta [ ] Phi Kappa Psi [ ] Pi Kappa Alpha [ ] Pi Beta Phi [ ] Pi Kappa Phi [ ] Sigma Chi [ ] Sigma Gamma Rho Sorority, Inc. [ ] Zeta Phi Beta Sorority, Inc. [ ] Sigma Nu [ ] Sigma Pi Local Chapter Website / URL - http://www.myschool.edu Date of elections [Required] When do the incoming officers assume their new roles? [Required] Please complete the following information based on your incoming officers. Because officer titles are different from all organizations, we encourage you to email a complete officer list to Fraternity & Sorority Life. President First and Last Name [Required] President Email Address [Required] Page 1 of 5 Fraternity and Sorority Leadership Change Form

President Phone Number [Required] Treasurer First and Last Name [Required] Treasurer Email Address [Required] Treasurer Contact Number [Required] New Member Educator First and Last Name [Required] New Member Educator Email Address [Required] New Member Educator Contact Number [Required] Philanthropy/Community Service Officer First and Last Name [Required] Philanthropy/Community Service Officer Email Address [Required] Philanthropy/Community Service Officer Contact Number [Required] Recruitment/Intake Chair First and Last Name [Required] Recruitment/Intake Chair Email Address [Required] Page 2 of 5 Fraternity and Sorority Leadership Change Form

Recruitment/Intake Chair Contact Number [Required] Social/Special Events Chair First and Last Name [Required] Social/Special Events Chair Email Address [Required] Social/Special Events Chair Contact Number [Required] Scholarship/Academic Chair First and Last Name [Required] Scholarship/Academic Chair Email Address [Required] Scholarship/Academic Chair Contact Number [Required] Standards/Judicial Chair First and Last Name Standards/Judicial Chair Email Address Programming/Member Development Officer First and Last Name Standards/Judicial Chair Contact Number Programming/Member Development Officer Email Address Programming/Member Development Officer Contact Number Page 3 of 5 Fraternity and Sorority Leadership Change Form

House Manager First and Last Name House Manager Email Address House Manager Contact Number Council Delegate/Representative First and Last Name [Required] Council Delegate/Representative Email Address [Required] Council Delegate/Representative Phone Number [Required] Chapter Advisor/Graduate Advisor First and Last Name [Required] Chapter Advisor/Graduate Advisor Email Address [Required] Chapter Advisor/Graduate Advisor Contact Number [Required] Recruitment Advisor First and Last Name Recruitment Advisor Email Address Recruitment Advisor Contact Number Faculty Advisor First and Last Name [Required] Page 4 of 5 Fraternity and Sorority Leadership Change Form

Faculty Advisor Email Address [Required] Faculty Advisor Contact Number [Required] Finance Advisor First and Last Name Finance Advisor Email Address Finance Advisor Contact Number Regional Officer First and Last Name [Required] Regional Officer Email Address [Required] Regional Officer Contact Number [Required] Page 5 of 5 Fraternity and Sorority Leadership Change Form