Oath or Affirmation

I, _______________________________________________________________ do solemnly
swear (or affirm) that I will faithfully, impartially, and justly perform all the duties of the office
of ______________________________________________________ according to the best of
my ability. So help me God.

________________________
Signature

________________________
Department

________________________
College or Division

State of ______________________

County of ____________________

Sworn and subscribed before me this__________day of__________________, 20____.

_______________________
Notary Public
(Impress seal and show date of
Expiration of Notary’s Commission)

(If an individual wishes to affirm rather than swear, he or she may strike the words “swear” and
“so help me God.”)