Regent: Name ______________________________________________________________________ □ new □ re-elected
Address _____________________________________ City __________________________ State ______ Zip ____________
E-Mail ___________________________________ Phone# (________)______________ Cell# (________)______________
Vice Regent: Name _________________________________________________________________ □ new □
re-elected
Address _____________________________________ City __________________________ State ______ Zip ____________
E-Mail ___________________________________ Phone# (________)______________ Cell# (________)______________
Recording Secretary: Name _________________________________________________________ □ new □ re-elected
Address _____________________________________ City __________________________ State ______ Zip ____________
E-Mail ___________________________________ Phone# (________)_______________ Cell# (________)______________
Financial Secretary: Name ___________________________________________________________ □ new □ re-elected
Address _____________________________________ City __________________________ State ______ Zip ____________
E-Mail ___________________________________ Phone# (________)_______________ Cell# (________)______________
Treasurer: Name ____________________________________________________________________ □ new □ re-elected
Address _____________________________________ City __________________________ State ______ Zip ____________
E-Mail ___________________________________ Phone# (________)_______________ Cell# (________)______________
Chaplain/Spiritual Advisor: Name _______________________________________________________ □ new □
returning
Address _____________________________________ City __________________________ State ______ Zip ____________
E-Mail ___________________________________ Phone# (________)______________ Cell# (________)______________
Campus Court Advisor: Name _______________________________________________________ □ new □ returning
Address _____________________________________ City __________________________ State ______ Zip ____________
E-Mail ___________________________________ Phone# (________)______________ Cell# (________)______________