EmailMe Form - SGA Application

Student ID Number:

Name: *

First Last

Classification: *

Freshman

Sophomore

Junior

Senior

Phone: *

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

University Email: *

Position of Interest: *

SGA Positions

Interested candidates may select ONE position.

Executive Board Positions

Senior Class Positions

Junior Class Positions

Sophomore Class Positions

Freshman Class Positions

Candidate Q&A

Why do you want to become a member of the Student Government Association? *

(Answer must be 100-200 words.)

Emergency Contact Information

Name: *

First Last

Address: *

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

Home Phone: *

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

Mobile Phone: *

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

Email:

Additional Information

Candidate Bio
Please include a brief biography (between 100-200 words). *

(Answer must be 100-200 words.)

Professional Headshot
(This photo will be used on the ballot)

Agreement and Signature

By submitting this application: *

I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as an SGA member, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Signature *

First Last

By typing your name, this will serve as your electronic signature.

Today's Date: *

MM / DD / YYYY