STUDENT BOARD
APPLICATION
PERSONAL INFORMATION
First Name: ____________________________
Last Name: ________________________________
Email: _________________________________
PeopleSoft ID Number _______________________
Phone: ________________________________
ACADEMIC INFORMATION:
Major Field(s) of study: ___________________
Cumulative GPA: _________ GPA in major: _______
Current Classification: ____________________
Hours remaining for Degree: __________________
REFERENCES:
Name: ________________________________
Phone Number:_____________________________
Relationship: ___________________________
Email: ____________________________________
Department (if applicable): ______________________________________________________________
Name: ________________________________
Phone Number:_____________________________
Relationship: ___________________________
Email: ____________________________________
Department (if applicable): ______________________________________________________________
I hereby certify that to the best of my knowledge, the information I have provided in this application is true
and correct and grant permission to the members of the Center for Arts Leadership committee to review this
information for purposes of evaluating my eligibility for being a member of the Center for Arts Leadership
Student Board.
Signature: _____________________________
Submit this application to:
ArtsLeadershipCenter@uh.edu
Or:
University of Houston
CLASS
Center for Arts Leadership
402 Agnes Arnold Hall
Houston, TX 77204-3000
ArtsLeadershipCenter@uh.edu
Date: _____________________________________
Application Checklist:
Remember to include the following information
in your application packet/email:
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
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Student Board Application
Cover Letter
Resume
Deadline: Tuesday, September 15, by 5:00pm
Applications will not be accepted after the deadline.
The University of Houston provides equal treatment and opportunity to all persons without regard to race, color, national origin, sex, age, disability,
veteran status, or sexual orientation except where such is required by law. This statement reflects compliance with Titles VI and VII of the Civil Rights Act of
1964 and Title I of the Educational Amendment of 1972 and all other state and federal regulations.