Change Your Chapter Info

Change or Update of Information Form

Fill out the form below

I Need to Update/Change

Please select an option from the menu above to access the specific form to change contact information for the chapter councilor, co-councilor, and their supervisors.

Chapter Councilor

Current Institution Name

Chapter Greek Name

Submitter's Email Address

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Chapter Councilor
The primary contact for the ASLHS chapter.

Is the new Chapter Councilor a current ASLHS member?

Yes No

First Name

Last Name

Position Title & Department

Institution Street Address

City

State

Zip Code

Work Email

Work Phone

Work Fax

Who is the Councilor replacing?

Who does this person report to?

Position Title & Department

Work Email

Work Phone

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Co-Councilor
The co-councilor will be listed in our online directory as an alternate contact for ASLHS chapter communications. This person will also be copied on all correspondence sent to the ASLHS chapter councilor.

Does your chapter have a Co-Councilor?

No Yes

Full Name

Position Title & Department

Phone

Who does this person report to?

Position Title & Department

Work Email

Work Phone

Date

Electronic Signature

Chapter Councilor Supervisor

Current Institution Name

Chapter Greek Name

Submitter's Email Address

HTML

Chapter Councilor
The primary contact for the ASLHS chapter.

Is the new Chapter Councilor a current ASLHS member?

Yes No

First Name

Last Name

Position Title & Department

Institution Street Address

City

State

Zip Code

Work Email

Work Phone

Work Fax

Who is the Councilor replacing?

Who does this person report to?

Position Title & Department

Work Email

Work Phone

HTML

Does your chapter have a Co-Councilor?

No Yes

Full Name

Position Title & Department

Phone

Who does this person report to?

Position Title & Department

Work Email

Work Phone

Date

Electronic Signature

Co-Councilor

Co-Councilor Supervisor

Institution

Change Your Chapter Info

Change or Update of Information Form

Fill out the form below

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