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Western Association of Schools and Colleges

Accrediting Commission for Senior Colleges and Universities

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Change of Key Personnel

Please use this form to notify WASC of position changes involving key personnel at your institution.
If you only wish to update your contact information, please use this form instead: www.wascsenior.org/forms/updatecontactinfo.)

Contact Siobhan Williams at swilliams@wascsenior.org if you need assistance with this form.

Institution *

Please check relevant box/es if the person holds one or more of the following positions (multiple selections may be made) *

CEO (Chief Executive Officer)ALO (WASC Accreditation Liaison Officer)CAO (Chief Academic Officer)CFO (Chief Financial Officer)Chair of the Board of TrusteesChair of the Faculty Senate

Information for the person who has assumed this position

Name (first and last) *

Job title *

Preferred Salutation (e.g., Dr., Ms., Mr., Professor)

Date of effect (enter the date that this person has or will take over this position) *

Email *

Daytime Phone (please list the best number to contact you during the day time) *

Cell phone

Fax

Preferred Mailing Address (if WASC needs to mail you anything, it will go to this address) *

Type of mailing address *

WorkHomeOther

Assistant name & title

Assistant email

Assistant phone

Information for the person who previously held this position, if known

Name (first and last) *

Is this person still at your institution? *

YesNo

If yes, please advise if there are any changes to the person's job title and work phone number

If no, please advise any details of the person's new position, if known (institution, title, phone, email), or if the person has retired

Name & position of person completing this form *

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