Fillable Newmembershipforms17 Southeastern Louisiana University Greek Life

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Newmembershipforms17 Southeastern Louisiana University Greek Life

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New Member Roster and Academic Release Form
This form is due within three business days following the completion of Recruitment/Intake. The
Assistant Director for Student Engagement must approve this form before any New Member Education
process can begin.
Organization/Chapter:
Date:
Please type in the name, and student ID number, for each new member roster addition. Next, have each new member sign and
date next to his/her name. Forms should be returned Office for Student Engagement in Student Union Room 2307.
Name (typed)
Student ID #
: I wish to waive my rights granted to me by the
Family Educational Rights and Privacy Act of 1974 and permit
Southeastern Louisiana University to release academic information
about me to my Sorority/Fraternity. I understand that this waiver will
be in effect until I notify the Office for Student Engagement that I no
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For Office Use Only:
Date Received: ___________________ Date Entered into System: _______________
Asst Director: __________________________________ Date:__________________
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Completed 7 April 2020

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