Roster Adjustment Form

E-Numbers can be found on the previous grade reports and rosters available from the office. We can Re-Add members who have previously been removed, provided we have a signed affiliation form on file. New Members are only added at the time of completing an initial affiliation/grade release form. PLEASE DO NOT ADD NEW MEMBERS ON THIS FORM! The chapter is expected to complete this form within 24 hours of a members status changing.

If you, your organization, or your organization's advisor have any questions pertaining to this MachForm, please direct questions to the Office of Fraternity and Sorority Programs at (217) 581-3967 or eiufsp@eiu.edu.

Please select your organization you are making changes on behalf of: *
Person Making Request Person Making Request * First Last
Email *
Chapter Position *
Date Date * / MM / DD YYYY
Please provide your signature into the box below. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Please provide information for each member your are wanting to make a change on your Roster.
Name Name First Last
E-Number
Action
Reason

Reason Alumni/Alumnae Status Resigned Membership Reactivated Membership Other Other
Name Name First Last
E-Number
Action
Reason

Reason Alumni/Alumnae Status Resigned Membership Reactivated Membership Other Other
Name Name First Last
E-Number
Action
Reason

Reason Alumni/Alumnae Status Resigned Membership Reactivated Membership Other Other
Name Name First Last
E-Number
Action
Reason

Reason Alumni/Alumnae Status Resigned Membership Reactivated Membership Other Other
Name Name First Last
E-Number
Action
Reason

Reason Alumni/Alumnae Status Resigned Membership Reactivated Membership Other Other
Name Name First Last
E-Number
Action
Reason

Reason Alumni/Alumnae Status Resigned Membership Reactivated Membership Other Other
Name Name First Last
E-Number
Action
Reason

Reason Alumni/Alumnae Status Resigned Membership Reactivated Membership Other Other
Name Name First Last
E-Number
Action
Reason

Reason Alumni/Alumnae Status Resigned Membership Reactivated Membership Other Other
Name Name First Last
E-Number
Action
Reason

Reason Alumni/Alumnae Status Resigned Membership Reactivated Membership Other Other
Name Name First Last
E-Number
Action
Reason

Reason Alumni/Alumnae Status Resigned Membership Reactivated Membership Other Other
Name Name First Last
E-Number
Action
Reason

Reason Alumni/Alumnae Status Resigned Membership Reactivated Membership Other Other
Name Name First Last
E-Number
Action
Reason

Reason Alumni/Alumnae Status Resigned Membership Reactivated Membership Other Other

Roster Adjustment Form

Roster Adjustment Form

Please provide information for each member your are wanting to make a change on your Roster.