College of DuPage Home Page Prospective Students: Admissions
Officer Update Form

Please include all information requested on this form. If you need to enter additional officers, you can submit this form more than once (be sure to include the club/organization name on each time). If you have any questions, please contact Student Life at studentlife@cod.edu.

   
Club/Organization Information
Club/Organization Name (Required)
Main Contact (Required)
Must be an officer

Officer Information  
Officer #1
Title
Name
Date of Birth
Required to verify enrollment
Street Address
City State Zip Code
Phone Number
Where message can be left during the day

Home Phone Cell Phone Other Phone
COD e-mail Address (preferred)
Other e-mail Address

Officer #2
Title
Name
Date of Birth (required to verify enrollment)
Street Address
City State Zip Code
Phone Number
Where message can be left during the day

Home Phone Cell Phone Other Phone  
COD e-mail Address (preferred)
Other e-mail Address

Officer #3
Title
Name
Date of Birth
Required to verify enrollment
Street Address
City State Zip Code
Phone Number
Where message can be left during the day

Home Phone Cell Phone Other Phone  
COD e-mail Address (preferred)
Other e-mail Address

Officer #4
Title
Name
Date of Birth
Required to verify enrollment
Street Address
City State Zip Code
Phone Number
Where message can be left during the day

Home Phone Cell Phone Other Phone
COD e-mail Address (preferred)
Other e-mail Address

Officer #5
Title
Name
Date of Birth
Required to verify enrollment
Street Address
City State Zip Code
Phone Number
Where message can be left during the day

Home Phone Cell Phone Other Phone
COD e-mail Address (preferred)
Other e-mail Address

Officer #6
Title
Name
Date of Birth
Required to verify enrollment
Street Address
City State Zip Code
Phone Number
Where message can be left during the day

Home Phone Cell Phone Other Phone
COD e-mail Address (preferred)
Other e-mail Address

Officer #7
Title
Name
Date of Birth
Required to verify enrollment
Street Address
City State Zip Code
Phone Number
Where message can be left during the day

Home Phone Cell Phone Other Phone  
COD e-mail Address (preferred)
Other e-mail Address