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.
Name Student ID # Reason for Deletion
1.
Student Signature:
Date
2.
Student Signature:
Date
3.
Student Signature:
Date
4.
Student Signature:
Date
5.
Student Signature:
Date
6.
Student Signature:
Date
For Office Use:
Date Received in Office: ______________________________
Date Entered into System: _________________________
____