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Club Executive Officer Update Form
Club Executive Office Update Form for 2019-2020 Academic Year
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Please submit this form to the Vice-President Student Life within one (1) week of any changes to your clubs Executive Officers
Name of Club/Society
*
Your answer
Club/Society Email Address
*
Your answer
CLUB STRUCTURE
Please fill in the information below of the executive title, executive name, their Nipissing student email, and phone number
Executive #1 Title, Name, Email and Phone Number
*
Your answer
Executive #2 Title, Name, Email and Phone Number
*
Your answer
Executive #3 Title, Name, Email and Phone Number
*
Your answer
If you have more than 3 Executives please continue to fill out the information below
Please fill in the information below of the executive title, executive name, their Nipissing student email, and phone number
Executive #4 Title, Name, Email and Phone Number
Your answer
Executive #5 Title, Name, Email and Phone Number
Your answer
Executive #6 Title, Name, Email and Phone Number
Your answer
If there is any additional information about your club/society that has changed, please explain:
Your answer
Date of Implementation
*
MM
/
DD
/
YYYY
This Google form has been filled out by [please input your name]
*
Your answer
By checking below, you confirm that these changes are submitted by the club president of your club
*
Confirmation of Club President Submission
Required
If you have any questions please email
vpstudent@nusu.com
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