Locker Update and Request Form

The president of the organization should fill out the form below. This form may be used to update access to your locker or to request a new locker.

*Organization Name:

*Organization Email:

President Information

*Name:

*Winthrop Email:

*Phone Number

*WU ID#:

Advisor Information

Name:

Email:

In addition to the President and Advisor listed above, students can be granted access to the organizational locker.

Student #1 Name:

Winthrop Email:

Phone Number:

Student #2 Name:

Winthrop Email:

Phone Number:

Student #3 Name:

Winthrop Email:

Phone Number:

Student #4 Name:

Winthrop Email:

Phone Number:

Please list the names of any additional students you would like to have access to the locker

*Locker Usage Guidelines:

I have read and agree with the Locker Usage Guidelines.