UNIVERSITY of HOUSTON
Student Government Association
2016 Election
Candidate Registration Form
This application is to be filled out by EACH CANDIDATE completely and accurately. All
applications must be turned in no later than 5:00 pm on Friday, February 12th to the Center of
Student Involvement Front Desk, SC North 103. Any applications not submitted by the date and time
stated above will not be accepted, and your name will not appear on the ballot. If there are any questions
regarding this application, please email the Chief Election Commissioner at sgaelect@central.uh.edu.
Please note that ALL candidates must attend the Candidate Seminar on Monday, February 15th, at
6:00 p.m. in the Student Center South Theater (Room Number 103). In the event that a candidate
cannot attend the Candidate Seminar, he or she will be disqualified, unless the absence is approved by the
Chief Election Commissioner twenty-four (24) hours in advance. By signing this document you consent
to the Election Commission verifying that you are in good academic and disciplinary standing.
Candidate Information
Please PRINT or TYPE
Position:
See back page for listing of positions
Candidate’s name:
As listed in the University Records
Date of Birth:
Student Identification Number (PeopleSoft #)
Candidate’s name:
As it shall appear on the ballot
Party affiliation (if applicable):
Street address:
City:
State:
Home phone number:
Zip Code:
Cell phone number:
Email: ___________________________
(Note: It is extremely important you provide an accurate and legible email address. This
will be the primary method for the Election Commission to contact you.)
College in which you are enrolled:
Can a member of the Daily Cougar contact you or a member of your campaign for
comment during the campaign season? (Circle) Yes or No
Candidate Signature and Date:
State law requires that you be informed of the following: (1) with few exceptions, you are entitled on
request to be informed about the information the University collects about you by use of this form; (2)
under sections 552.021 and 552.023 of the Government Code, you are entitled to receive and review the
information; and (3) under section 559.004 of the Government Code, you are entitled to have the
University correct information about you that is incorrect.
Student Government Association Positions **
President
Vice President (note: a vice presidential candidate must run on a ticket with a presidential candidate)
Senator-at-Large
Architecture Senator
Business Senators
Education Senator
Engineering Senators
HRM Senator
Law Senator
CLASS Senators
NSM Senators
Honors Senator
Optometry Senator
Pharmacy Senator
Social Work Senator
Technology Senators
Graduate-at-Large