Spring 24 Notice of Discontinued Membership
Please complete this form if you have:
(1) Discontinued new membership/pledgeship in a fraternal organization (Depledged) - For new members
OR
(2) Discontinued active membership in a fraternal organization (Disaffiliated) - For active/initiated members

This action confirms/clarifies membership information reported to the Office of Fraternal Life.
Individual responses will not be shared with the organization, so please respond honestly and completely.

If you have questions about this form please contact the Fraternal Life Coordinator at eallegro@geneseo.edu
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Email *
Full Name: *
Student G#: *
Organization: *
I have: *
Please help us to understand why you are no longer interested in/have discontinued membership with the fraternity/sorority (select all that apply): *
Required
What could the organization have changed to keep you as a member? *
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