Student Government Association
Dear Applicant,
Thank you for picking up an application and taking the first step in becoming an active student
leader at USI! There are many positions currently vacant within the Student Government
Association. The most up-to-date list of vacant positions can be found at www.usi.edu/sga/officers .
As of August 20, 2015, we are currently seeking the following positions:
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Freshman Member-at-Large (7)
AVP for External Relations (1)
AVP for Government Relations (1)
AVP for Archie’s Army (1)
AVP for Research and Development (1)
AVP for Social and Cultural Issues (1)
AVP for University Affairs (1)
AVP for Academic Affairs (1)
College of Business Student Rep (4)
College of Liberal Arts Student Rep (6)
College of NHP Student Rep (5)
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Pott College Student Rep (5)
Commuter Student Rep (2)
Freshman Student Member-at-Large (7)
Graduate Student Member-at-Large (2)
International Student Member-at-Large
(2)
University Division Member-at-Large (1)
Veteran Student Member-at-Large (2)
Panhellenic Rep (1)
IFC Rep (1)
Constructive Member-at-Large (7)
Please fill out the attached application by submitting all requested information, answering the listed questions,
and collecting all required signatures. Incomplete applications will not be processed. After completion, please
return to Dean of Students Office, located in University Center East (UCE 1229) across from Cyclone Salads.
All applicants will be contacted with additional information after their application is received. Descriptions of
the position responsibilities can be found in the SGA By-Laws beginning at section 1.1. The document can be
found at http://usi.edu/sga/constitution-and-bylaws.
Once again, thank you for your interest in the Student Government Association! If you have any questions,
please feel free to email me at albueltel@eagles.usi.edu.
Sincerely,
Alexa Bueltel
President
Student Government Association
Student Government Association
Application
To be completed in its entirety.
Full Name: ____________________________________________ Student ID _________________________
Local Address: ____________________________________________________________________________
Street
City
State
Zip
Cell Phone: (
) __________________________
Can you receive text messages? Yes No
Alt. Phone: (
) __________________________
Primary Email:_________________________________________
School of Major:_________________________ Major(s):__________________________________________
Credit Hours Currently Enrolled:________ Cumulative GPA:________ Cumulative Credit Hours:_________
Commuter Student?
Yes
No
| Transfer Student?
Yes
No
| Freshman Student?
Yes
No
Position for which you are applying:___________________________________________________________
To see which seats are currently vacant in the General Assembly, visit http://usi.edu/sga/join-sga. The duties of
all officers are in the Bylaws, section 1.1 and qualifications for office are in the Bylaws, section 5.4. The
Bylaws are located at http://usi.edu/sga/constitution-and-bylaws.
Please Read Carefully. Please answer the questions on the next page of this application. You can continue on
the backside or attach an additional page for your answers if more space is needed. If selected, you must be
able to meet every Thursday at 4:30pm and attend any other meetings that are required according to your job
description.
By signing, you attest that the information provided on this application is correct, your petition is signed by the
appropriate number of students, and that you understand the duties of the office for which you are applying.
Signature ______________________________ Date ___________________________
If you have any further questions please stop by the SGA office in the basement of UCE (Student Involvement
Center), call 812-464-1873 or email us at albueltel@eagles.usi.edu.
Please return the completed application to the Dean of Students office, across from Cyclone Salads in UC East,
before 4:30 p.m.
For Office Use Only
_____________________________________ _______________ ___________________
Dean of Students Office
Date Received
Information is Correct
_____________________________________ _______________ ___________________
Executive Vice President
Date Received
Information is Correct
___________________________________
Date, Time & Methos Applicant Contacted
______________________________
Date & Time Applicant Interviewed
__________________________________
General Assembly Date & Voting Results
___________________________________
Date SGA Swipe Card Access Requested
______________________________
Date SGA IT Access Requested
__________________________________
Date of Orientation
SGA Card Swipe Access Granted:________
SGA IT Access Granted:________
Joined OrgSync:________
1. Why are you interested in becoming an member of the Student Government Association?
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
2. What type of experience will you bring to the position for which you are applying? What other leadership
roles or positions do you currently have or have previously held?
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
3. What do you feel are some of your best characteristics and strengths?
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
4. What do you feel are some of your weaknesses? What is one of your personality characteristics that will
challenge you in this job?
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
5. What do you hope to accomplish in the SGA?
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
6. Do you fully understand and are you prepared to make the significant time commitment and sacrifices
necessary to be a successful Officer of the Student Government Association? Please explain.
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Petition for Candidacy
The Bylaws of the Student Government Association require all members who wish to stand for election or be
considered for appointment to an officer position must collect legitimate signatures of current USI students.
Applicants must obtain the following amount of signatures based upon the desired position for consideration.
President: 200 ○ Executive Vice President, Attorney General, & Financial Officer: 175 ○ AVP Positions: 75
○ All Other Representatives: 50
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