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Officer Change Form

This document is an organization update form used to provide updated contact and representative information for a student organization to the University of Houston. It allows organizations to update information such as officer/representative names and contact details, organization name, website, email address, and faculty/staff advisor. The form must be submitted by August 31, 2010 for the updates to remain valid and includes signatures and identification numbers to verify the new officer information.

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MGCHouston
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50 views

Officer Change Form

This document is an organization update form used to provide updated contact and representative information for a student organization to the University of Houston. It allows organizations to update information such as officer/representative names and contact details, organization name, website, email address, and faculty/staff advisor. The form must be submitted by August 31, 2010 for the updates to remain valid and includes signatures and identification numbers to verify the new officer information.

Uploaded by

MGCHouston
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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ORGANIZATION UPDATE FORM

Date:_____________________________ EXPIRATION DATE: AUGUST 31,2010

Organization Name:______________________________________________________________

PLEASE CHECK APPROPRIATE BOX(ES)

Officer/Representative(s)* Phone Number(s)

Address(es) E-mail Address(es)

CURRENT REPRESENTATIVE(S) INFORMATION: (Officers on file with Campus Activities)

(Current) Name:______________________________ Signature:**_________________________

Title:____________________ PeopleSoft ID #:______________ Phone:_____________

Address:_________________________ City/State:_______________
Zip:____________

UH E-mail:_______________________ Alt. Phone (work, pager, etc.):______________

(Current) Name:______________________________ Signature:**_________________________

Title:____________________ PeopleSoft ID #:_____________Phone:_______________

Address:_________________________ City/State:_______________
Zip:____________

UH E-mail:_______________________ Alt. Phone (work, pager, etc.):______________

FUTURE REPRESENTTATIVE(S) INFORMATION: (New Officers)

(Future) Name:______________________________ Signature:**__________________________

Title:____________________ PeopleSoft ID #:_______________Phone:_____________

Address:_________________________ City/State:_______________
Zip:____________

E-mail:____________________________ Alt. Phone (work, pager, etc.):_____________

(Future) Name:______________________________ Signature:**__________________________

Title:____________________PeopleSoft ID #:_______________Phone:_____________

Address:_________________________ City/State:_______________
Zip:____________

E-mail:____________________________ Alt. Phone (work, pager, etc.):_____________


*If changing more than two officers/representatives, the organization must attend an Organization
Orientation session and submit a new Organization Registration form.

**Signature is required unless current officer/representative is no longer a student at UH.


PLEASE CHECK APPROPRIATE BOX(ES)

Organization Name Faculty/Staff Advisor

Website Address Organization E-mail Address

ORGANIZATION NAME CHANGE:

Current Name:__________________________________________________________________

Future Name:___________________________________________________________________

ORGANIZATION WEBSITE ADDRESS:

Current Website Address:_________________________________________________________

Future Website Address:__________________________________________________________

ORGANIZATION E-MAIL ADDRESS:

Current E-mail Address:__________________________________________________________

Future E-mail Address:___________________________________________________________

FACULTY/STAFF ADVISOR CHANGE:

(Current) Name:____________________________________ Dept.:_________________________

Mail Code:__________ Phone:_______________ E-mail:_________________________

(Future) Name:____________________________________ Dept.:_________________________

Mail Code:__________ Phone:_______________ E-mail:_________________________

“State law requires that you be informed of the following: (1) with few exceptions, you are entitled on request to be informed about
the information the University collects about you by use of this form; (2) under sections 552.021 and 552.023 of the Government
Code, you are entitled to receive and review the information; and (3) under section 559.004 of the Government Code, you are entitled
to have the University correct information about you that is correct.”

FOR OFFICE USE ONLY


RECEIVED BY:____________ DATE:________________ REVIEWED BY:______________

ENROLLEMENT VERIFIED:______ APPROVED BY:__________________ DATE:_______

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