Text Box:   CHANGE OF OFFICER FORM   This form should be completed any time there is a change of any officer and/or advisor of any registered student organization.   NAME OF ORGANIZATION                                                                                  DATE                                        Carefully read the following information and review all applicable University regulations affecting registered student organizations.  If you agree to adhere to the policy stated below, the Hazing Policy, University Rules and Regulations appropriate to student organizations and their members, and verify that the information supplied on this form is correct, please sign where indicated.    "We agree to abide by Northern Arizona University policy prohibiting discrimination in organizational membership on the basis of race, color, culture, creed, religion, national origin, gender, sexual orientation, marital status, disability, age, or veteran status."   By Initialing next to your name, you are giving the Office of Student Life permission to disclose your current class standing and GPA to both your organizational advisor and to the club president.  This is done only for the purpose of officer eligibility, which affects the registration status of the organization.    New Organization Campus PO Box                                                           Phone                                                   New President                                                                           Signature                                                        Local Address                                                                                                     Zip                                          Phone                                         E-Mail                                                                                                               New Vice-President                                                                   Signature                                                        Local Address                                                                                                     Zip                                          Phone                                         E-Mail                                                                                                               New Treasurer                                                                           Signature                                                        Local Address                                                                                                     Zip                                          Phone                                         E-Mail                                                                                                               New Secretary                                                                            Signature                                                       Local Address                                                                                                     Zip                                          Phone                                         E-Mail                                                                                                               New Faculty/Staff Advisor                                                          Signature                                                        Campus Address                                                                                     Department                                         Phone                                         E-Mail                                                                                                               Return this form to: Office of Student Life Room 105, University Union P.O. Box 6015 Flagstaff, AZ  86011 928-523-5181