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
W
Number
Reason for Deletion
Staff
Member
(Office Use)
Effective Date
(Office Use)
Confirmation
Sent Date
(Office Use)
For Office Use:
Date Received in Office: ______________________________
Received By: _______________________________________