2008-2009 Multicultural Student Services Student Leadership Application

Club in which you are applying for:
Office you are applying for:
If other, please specify
Name: First:
Last:
Gender: Male       Female
A Number: A
Email:
Address line1:
Address line 2:
City:
State:
Zip:
Phone Number:
Major:
Cumulatice GPA:
Class Ranking:

Please list other obligations and respinsibilities you will have next year:

Qualifications (experiences that will help you in the office you are applying for):

A Paragraph describing your leadership and diversity philosophy:

Describe in 250 words or more, your specific goals and plans for the office:

Have your read and agree with the everything contained within the Application Packet?

Please click to submit your registration. Registration is not complete untill you recieve a printable confimation.