University of Louisiana - Lafayette, Student Organizations

Name of Organization required

Email Address of Organization ex. upc@louisiana.edu (do not put a members email address)

President Name

FirstLast

President Address

Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

President Email

President Cell Phone Number

(###)#######

Vice President Name

FirstLast

Vice President Address

Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

Vice President Email

Vice President Cell Phone Number

(###)#######

Secretary Name

FirstLast

Secretary Email

Secretary Cell Phone Number

(###)#######

Treasurer Name

FirstLast

Treasurer Address

Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

Treasurer Email

Treasurer Cell Phone Number

(###)#######

Name of EMS web requestor (not president)

FirstLast

EMS web requestor email

By typing my name here I understand that all information submitted on this form is correct and true. (President sign here) required

By typing my name here I understand that all members of my organization must have a minimum of a 2.0 GPA (President sign here) required

By typing my name here I state that I have read and understand all alcohol, drug, and anti-hazing policies of the University of Louisiana at Lafayette. (President sign here) required

University of Louisiana - Lafayette, Student Organizations

Officer Change Form