Region IV Collegiate Chapter Executive Officers Contact
Hello chapter leader. Please fill out this form so that the membership chair can be able to contact you with important information. Only one person from your executive board needs to fill out this form. Thank you!
Chapter/School
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SOUTHERN ILLINOIS UNIV.-EDWARDSVILLE
UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN
UNIVERSITY OF ILLINOIS-CHICAGO
WESTERN ILLINOIS UNIVERSITY
INDIANA INSTITUTE OF TECHNOLOGY
INDIANA STATE UNIVERSITY
INDIANA UNIVERSITY - BLOOMINGTON
INDIANA UNIVERSITY-PURDUE UNIVERSITY INDIANAPOLIS
PURDUE UNIVERSITY
PURDUE UNIVERSITY - NORTHWEST
ROSE-HULMAN INSTITUTE OF TECHNOLOGY
UNIVERSITY OF NOTRE DAME
VALPARAISO UNIVERSITY
ANDREWS UNIVERSITY
CALVIN COLLEGE
CENTRAL MICHIGAN UNIVERSITY
FERRIS STATE UNIVERSITY
GRAND VALLEY STATE UNIVERSITY
KETTERING UNIVERSITY A-SECTION
KETTERING UNIVERSITY B-SECTION
LAWRENCE TECH UNIVERSITY
MICHIGAN STATE UNIVERSITY
MICHIGAN TECHNOLOGICAL UNIVERSITY
OAKLAND UNIVERSITY
UNIVERSITY OF MICHIGAN-ANN ARBOR
UNIVERSITY OF MICHIGAN-DEARBORN
WAYNE STATE UNIVERSITY
WESTERN MICHIGAN UNIVERSITY
MINNESOTA STATE UNIVERSITY - MANKATO
MINNESOTA STATE UNIVERSITY - MOORHEAD
UNIVERSITY OF MINNESOTA
UNIVERSITY OF MINNESOTA DULUTH
CASE WESTERN RESERVE UNIVERSITY
CENTRAL STATE UNIVERSITY
CLEVELAND STATE UNIVERSITY
MIAMI UNIVERSITY - OXFORD, OH
THE OHIO STATE UNIVERSITY
OHIO UNIVERSITY-ATHENS
UNIVERSITY OF AKRON
UNIVERSITY OF CINCINNATI
UNIVERSITY OF DAYTON
UNIVERSITY OF TOLEDO
WRIGHT STATE UNIVERSITY
YOUNGSTOWN STATE UNIVERSITY
MARQUETTE UNIVERSITY
MILWAUKEE SCHOOL OF ENGINEERING
UNIVERSITY OF WISCONSIN-MADISON
UNIVERSITY OF WISCONSIN-MILWAUKEE
My School Isn't Listed
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President Information
President Name
*
First Name
Last Name
President Email
*
example@example.com
President Phone Number
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Please enter a valid phone number.
Vice President Information
Vice President Name
*
First Name
Last Name
Vice President Email
*
example@example.com
Vice President Phone Number
*
Please enter a valid phone number.
Secretary Information
Secretary Name
*
First Name
Last Name
Secretary Email
*
example@example.com
Secretary Phone Number
*
Please enter a valid phone number.
Treasurer Information
Treasurer Name
*
First Name
Last Name
Treasurer Email
*
example@example.com
Treasurer Phone Number
*
Please enter a valid phone number.
Programs Chair Information
Programs Chair Name
*
First Name
Last Name
Programs Chair Email
*
example@example.com
Programs Chair Phone Number
*
Please enter a valid phone number.
Membership Chair Information
Membership Chair Name
First Name
Last Name
Membership Chair Email
example@example.com
Membership Chair Phone Number
Please enter a valid phone number.
Senator 1 Information
Senator Name
*
First Name
Last Name
Senator Email
*
example@example.com
Senator Phone Number
*
Please enter a valid phone number.
Additional Position Reporting
If you have the contact information of other positions you would like to report, you can do so below. If you have more than one senator, please report those people here.
Do you have any additional positions whose contact information you would like to report?
*
Yes
No
Position 1 Name
Position 1 Holder Name
First Name
Last Name
Position 1 Holder Email
example@example.com
Position 1 Holder Phone Number
Please enter a valid phone number.
Position 2 Name
Position 2 Holder Name
First Name
Last Name
Position 2 Holder Email
example@example.com
Position 2 Holder Phone Number
Please enter a valid phone number.
Position 3 Name
Position 3 Holder Name
First Name
Last Name
Position 3 Holder Email
example@example.com
Position 3 Holder Phone Number
Please enter a valid phone number.
If you have any other positions you would like to report, please email the position, the name of who holds it, their email address, and their phone number to r4membership@nsbe.org.
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