EmailMe Form - Committee Application

Name *

First Last

MSU Email *

Phone *

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Mailing Address (campus or local) *

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

College *

Academic Year (for which you are applying to serve) *

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.

* Please list first choice and back-up choices in order of preference. Please indicate in notes if you wish to serve on multiple committees.

Committee 1 *

*

Committee 2, Optional

Committee 3, Optional

Committee 4, Optional