Southeastern Louisiana University Greek Life
Membership Roster Deletions
Organization Name:_____________________________________________________________
Chapter President’s Name (Print): __________________________________________________
Chapter President’s Signature:_____________________________________________________
Chapter Advisor’s Name (Print): ___________________________________________________
Chapter Advisor’s Signature: ______________________________________________________
Please type in the student’s name, student’s ID number, and reason for each roster deletion.
Deletions will not be authorized without legitimate reason(s). All requests for deletions will be
due each semester on the last day to withdraw or resign from the University. Completed forms
should be returned to the Office for Student Engagement. A confirmation copy of this form
will be emailed to the president and advisor once processed.
Name
Reason for Deletion
Member
Effective Date
(Office Use)
Sent Date
For Office Use:
Date Received in Office: ______________________________
Received By: _______________________________________