EmailMe Form - 17/18 Committee Application

Name *

First Last

MSU Email *

Phone *

### - ### - ####

Mailing Address (campus or local) *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

College *

Department *

Program Level *

Expected Graduation Date *

Semester and year

To be eligible to serve on a University committee, you must have paid the COGS tax for the current and prior semesters. *

I have not requested a refund for last semester or this current semester.

* You are able to serve on up to four committees.

Committee 1 *

*

Committee 2, Optional

Committee 3, Optional

Committee 4, Optional