Active Member Roster (Spring 2014)

Please fill out roster COMPLETELY and ACCURATELY. You cannot return to this survey once you have submitted it.

Name of Organization:

Name of Chapter (if applicable)

Executive Board Term of Office:
January-December
September-August
other:

Members should be listed in alphabetical order by last name. For all members, please submit the information in the following format:

Name; MSU ID#; Email; Phone; Local address; Executive Board Position (if applicable, otherwise list 'member'). All pieces of information should be separated by a semi-colon.

Example:

Jane Doe; 12345678; doej@mail.montclair.edu; 123-456-7890; 123 Main Street, Anytown, NJ 01234; President

Member 1: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 2: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 3: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 4: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 5: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 6: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 7: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 8: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 9: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 10: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 11: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 12: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 13: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 14: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 15: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 16: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 17: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 18: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 19: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 20: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 21: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 22: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 23: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 24: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 25: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 26: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 27: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 28: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 29: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 30: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 31: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 32: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 33: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 34: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 35: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 36: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 37: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 38: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 39: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 40: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 41: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 42: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 43: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 44: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 45: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 46: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 47: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 48: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 49: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 50: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 51: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 52: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 53: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 54: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 55: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 56: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 57: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 58: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 59: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Member 60: Name; MSU ID#; Email; Phone; Local address; Executive Board Position

Advisor(s) on campus: Name; Email; Phone (if you have more than one advisor, please list information for each on a separate line).

Advisor(s)off campus (if applicable): Name; Email; Phone (if you have more than one advisor, please list information for each on a separate line).

Organization/Chapter Email Address

Organization contact: Name; Phone; Email (Contact must agree to have the following information available to interested parties, email may be listed on MSU Greek Affairs Website)

My electronic signature indicates that I am aware of and will adhere to SGA policies, the Student Code of Conduct, Policies of the Office of Student Life and the Center for Student Involvement, national policies, Greek Council policies and all other University rules and policies. If any of the above information changes, I understand that the Roster Change form is to be submitted within two weeks of the change. Please type full name below as your electronic signature.