Alumni Organizations Officers List - Form RA

Use this form to:
Notify the National Headquarters of new alumni officers
This form is due:
Within 3 days of any changes (after elections, appointments, etc.)
This form sends mail to:
  • Lynne Foster (lynnef@triangle.org) at the National Headquarters
  • Kevin Fong, National Secretary
  • Your email address entered below
Instructions:
  • Complete the fields on this page and click the "Submit Request" button to submit the information to the National Headquarters. Alternatively, you may print this page and send it to the National Headquarters via regular mail.
  • Use full names, not nicknames.
  • Use "Other" to indicate other board members who may not hold officer positions.
Comments: Form RA is very important to the National Organization for several reasons:
  • It informs us who the current leaders of a chapter are.
  • It enables us to contact the appropriate individuals with any questions, comments or suggestions.
  • It also allows us to contact chapter representatives in case of an emergency.
  • It allows us to properly direct resources.
  • It helps open channels of communication which enable us to keep up to date with the alumni organization.
  • It aids us in our work with the volunteers who provide programming and perform consultations (we can tell them who they should be working with at a chapter).
  • It keeps us up to date as to who is advising a chapter.
  • Overall it helps us to provide higher quality service in a timely manner.

Your Name:
Your Email Address:
Your Chapter:
Official Address:
Date of Officer Change:
Reason for Change (election, etc.):

President:
Full Name:
Chapter and Initiation Year:
Personal Mailing Address:
E-Mail Address:
Home Phone (w/area code):
Work Phone (w/area code):
Fax Phone (w/area code):
Term ends on:
Vice President
Full Name:
Chapter and Initiation Year:
Personal Mailing Address:
E-Mail Address:
Home Phone (w/area code):
Work Phone (w/area code):
Fax Phone (w/area code):
Term ends on:
Secretary:
Full Name:
Chapter and Initiation Year:
Personal Mailing Address:
E-Mail Address:
Home Phone (w/area code):
Work Phone (w/area code):
Fax Phone (w/area code):
Term ends on:
Treasurer:
Full Name:
Chapter and Initiation Year:
Personal Mailing Address:
E-Mail Address:
Home Phone (w/area code):
Work Phone (w/area code):
Fax Phone (w/area code):
Term ends on:
Insurance Representative:(board member responsible for insurance concerns)
Full Name:
Chapter and Initiation Year:
Personal Mailing Address:
E-Mail Address:
Home Phone (w/area code):
Work Phone (w/area code):
Fax Phone (w/area code):
Term ends on:
Advisor:
Full Name:
Chapter and Initiation Year:
Personal Mailing Address:
E-Mail Address:
Home Phone (w/area code):
Work Phone (w/area code):
Fax Phone (w/area code):
Term ends on:
Other:
Full Name:
Chapter and Initiation Year:
Personal Mailing Address:
E-Mail Address:
Home Phone (w/area code):
Work Phone (w/area code):
Fax Phone (w/area code):
Term ends on:
Other:
Full Name:
Chapter and Initiation Year:
Personal Mailing Address:
E-Mail Address:
Home Phone (w/area code):
Work Phone (w/area code):
Fax Phone (w/area code):
Term ends on:
Other:
Full Name:
Chapter and Initiation Year:
Personal Mailing Address:
E-Mail Address:
Home Phone (w/area code):
Work Phone (w/area code):
Fax Phone (w/area code):
Term ends on:
Other:
Full Name:
Chapter and Initiation Year:
Personal Mailing Address:
E-Mail Address:
Home Phone (w/area code):
Work Phone (w/area code):
Fax Phone (w/area code):
Term ends on:
Other:
Full Name:
Chapter and Initiation Year:
Personal Mailing Address:
E-Mail Address:
Home Phone (w/area code):
Work Phone (w/area code):
Fax Phone (w/area code):
Term ends on:
Other:
Full Name:
Chapter and Initiation Year:
Personal Mailing Address:
E-Mail Address:
Home Phone (w/area code):
Work Phone (w/area code):
Fax Phone (w/area code):
Term ends on:
Other:
Full Name:
Chapter and Initiation Year:
Personal Mailing Address:
E-Mail Address:
Home Phone (w/area code):
Work Phone (w/area code):
Fax Phone (w/area code):
Term ends on:
Other:
Full Name:
Chapter and Initiation Year:
Personal Mailing Address:
E-Mail Address:
Home Phone (w/area code):
Work Phone (w/area code):
Fax Phone (w/area code):
Term ends on:
Other:
Full Name:
Chapter and Initiation Year:
Personal Mailing Address:
E-Mail Address:
Home Phone (w/area code):
Work Phone (w/area code):
Fax Phone (w/area code):
Term ends on:

Additional Comments:

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