Activation / Deactivation Form

"*" indicates required fields

Action Type*

Chapter & Region*

Unit Type*

Unit Name*

Requested Unit#*

Total Operatives*

Unit Website

Unit Motto

Operative/Team Leader Rank and Name*

Operative/Team Leader Email Address*

Operative/Team Leader's SCC#*

Operative/Team Leader Expiration Date*

Assistant Team Leader Rank and Name

Assistant Team Leader Email Address

Chapter Commanding Officer:*

Chapter CO Email Address*

Unit Roster*

Name:
Rank:
SCC#:
Expiration Date:
(Repeat this format for each member of the Team)

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