Activation / Deactivation Form

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's SCC#

Operative/Team Leader Email Address

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