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					                                                       The Office of Fraternity & Sorority Life Member
                                                       Roster Registration and Release Form
Organization:                                                                                                      Semester: Fall 2010

 • Grade, ASU Registration and Credit Hour Release
 This document constitutes Consent to obtain and release my grades, ASU registration and credit hour information. It is understood that by signing below, I agree that ASU
 through the Fraternity and Sorority Life staff may obtain my grades, ASU Registration and credit hour information directly from the university and in turn release this
 information in accordance with this Consent. I further agree that ASU through FSL may discuss this information with the Authorized Recipients. This Consent applies to
 educational records that may otherwise be protected under the Family Educational Rights and Privacy Act of 1974, as amended, 20 U.S.C. 1232g. I specifically authorize
 and Consent to the release of this information to the President of my fraternity or sorority, advisor (at the discretion of the Office of Fraternity & Sorority Life) or council officer
 for the purpose of determining my membership status and overall Chapter academic success. I acknowledge that this Consent is valid unless I revoke it in writing and
 present it to Fraternity and Sorority Life. Finally, by signing this document, I attest that I am enrolled in at least one credit hour at Arizona State University.

 • Standard Photo Release
 Additionally, by signing this form I also grant permission to FSL, on behalf of ASU, to use photographs taken of me during ASU events for use in university publications,
 websites or other electronic forms or media, and to offer the photographs for use or distribution to other university departments, without notifying me. I waive any right to
 inspect or approve the photographs, publications, or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or
 unknown and I waive any rights to royalties or other compensation arising from or related to the use of the photographs. Also, I agree to release and hold harmless the
 Arizona Board of regents, on behalf of Arizona State University, from and against any claims, damages or liability arising from or related to the use of these photographs,
 including but not limited to any re-use, distortion, blurring, alteration, optical illusion or use in composite form, either intentionally or otherwise, that may occur or be produced
 in production of the finished product.

 • Acknowledgment of University Policies
 Further, by signing this form I acknowledge the ABOR Student Code of Conduct and any other policy pertaining to individual students, registered student organizations, my
 chapter and my council. This includes, but is not limited to USI 1301-01: Fraternities and Sororities-Relationship with the University.




                                               Name:                                      Signature:                                             Date:
Chapter President:                                                                                                                            ___/___/___

New Member Educator:                                                                                                                          ___/___/___

Chapter Advisor:                                                                                                                     ___/___/___
FSL Office Use Only      Date Received: ___/___/___                             Staff::_______________              Signature:___________________
Form submitted Electronically:(Yes or No)



                                                                  Arizona State University - Fraternity and Sorority Life                                                                   1
                                 Office of Fraternity Sorority Life Active Roster Form
    All completed chapter roster form pages must be TYPED and attached to page 1 of the packet to be considered officially submitted.
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                                            Arizona State University - Fraternity and Sorority Life                                     2
                                  Office of Fraternity Sorority Life Active Roster Form
     All completed chapter roster form pages must be TYPED and attached to page 1 of the packet to be considered officially submitted.
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                                             Arizona State University - Fraternity and Sorority Life                                     3
                                  Office of Fraternity Sorority Life Active Roster Form
     All completed chapter roster form pages must be TYPED and attached to page 1 of the packet to be considered officially submitted.
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                                             Arizona State University - Fraternity and Sorority Life                                     4
                         Office of Fraternity and Sorority Life New Member Roster Form
    All completed chapter roster form pages must be TYPED and attached to page 1 of the packet to be considered officially submitted.
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                          Office of Fraternity and Sorority Life New Member Roster Form
     All completed chapter roster form pages must be TYPED and attached to page 1 of the packet to be considered officially submitted.
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Office of Fraternity & Sorority Life New Member Roster Form




                                             Arizona State University - Fraternity and Sorority Life                                     6

				
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