CGA PETITION
STUDENT SENATE
(Online Elections – September 12 & 13, 2012)
Forms MUST be returned to the STUDENT AFFAIRS OFFICE, Room #329, Kehr Union By Noon on Thursday, September 7, 2012. CLASS OFFICERS – 1 Position each
(President**, Vice-President,
Treasurer & Secretary of the following)
Freshman Class
Junior Class
Sophomore Class
Senior Class
SENATE**
KEHR UNION
On-Campus Representatives (15) Member-At-Large (On Campus Rep) (1)
Off-Campus Representatives (15) Member-At-Large (Off Campus Rep) (1)
**Senate meetings are every other Monday starting at 4:30 P.M. Students are strongly urged not to run
for Senate if they have a Monday night class. There will be a mandatory meeting for all candidates.
I am hereby petitioning to be placed on the ballot for the position of:
Name
ID #
Cell Phone Number
e-mail address
Local Address
I understand that I must obtain the signature of the Vice President for Student Affairs or his/her designee plus
the signatures of ten (10) students (Students signing petition - Please PRINT then SIGN name).
1.________________________________________
6._____________________________________
2.________________________________________
7._____________________________________
3.________________________________________
8._____________________________________
4.________________________________________
9._____________________________________
5.________________________________________
10.____________________________________
DISQUALIFICATION MAY RESULT IF YOU FAIL TO ABIDE BY THE STATED REGULATIONS.
I HAVE READ AND FULLY UNDERSTAND THE ELECTION RULES AND REGULATIONS PRINTED
ON THE REVERSE. IN ADDITION, I UNDERSTAND THAT I AM NOT A CANDIDATE UNTIL
HAVING TURNED IN THIS FORM TO THE VICE PRESIDENT FOR STUDENT AFFAIRS.
(Signature of Candidate)
FOR USE BY THE OFFICE OF THE VICE PRESIDENT FOR STUDENT AFFAIRS
Academic Standing:
GPA:
Social Standing:
Initial:
Date:
Student Standard Clearance _____Yes _____No
Signature:
Vice President for Student Affairs/Designee