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Student Organization Name
Authorized Representative Submitting Request
Authorized Representative PATRIOT E-mail Submitting Request
On-Campus Advisor
On-Campus Advisor E-mail
Our organization would like to request the following:
Website Change
Canvas Page
Organization E-mail
I would like to request the following changes to our student organization web page:
Update Statement of Purpose/Organization Description to:
Update Organization Contacts(Name&Title):
Update Organization Contact Information:
I would like to request the following e-mail address (___________@patriots.uttyler.edu)
Our organization would like to request a Canvas Page. You must select at least 1 officer and 1 advisor.
Officer Name & Patriot E-Mail
Officer Name & Patriot E-Mail
Officer Name & Patriot E-Mail
Officer Name & Patriot E-Mail
Officer Name & Patriot E-Mail
Advisor Name & UT Tyler E-Mail
Advisor Name & UT Tyler E-Mail
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