Summer 2016 Senate Appointment Application
Thank you for your interest. If you have any questions, please email the Government Oversight Chair: sgagoc@unf.edu.
Senate Appointment Process
STEP 1:
Attend a Senate Meeting.
See attached Senate and Committee Schedule.
STEP 2:
STEP 3:
STEP 4:
Meet with each Committee Chair of the Legislative Cabinet and SG Advisor Victoria Shore.
v.shore@unf.edu – Advisor Victoria Shore
sgasp@unf.edu – Senate President – Dallas Burke
sgaspt@unf.edu – President Pro-Tempore and Constitution & Statutes Chair – Sami Mims
sgausac@unf.edu – University and Student Affairs Chair – Ania Cajuste
sgagoc@unf.edu – Government Oversight Chair – Warren Butler
sgabac@unf.edu – Budget & Allocations Chair – Christopher Jordan
Attend Government Oversight Committee, and one other committee
Attend Senate for interview.
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Week 1
1.) Attend Senate On
Wednesday
 Announce seeking
appointment.
 Stay for entire
meeting.
 Obtain Senate
President’s
signature at end of
meeting, on page
8.
3.) Required Meetings
 Meet with
Committee Chairs
 Meet SG Advisor
 Obtain signatures
on page 5
4.)Attend Committees
On Wednesday
 Attend GO for
interview, obtain
chair signature on
page 8.
 Attend another
committee, obtain
chair signature on
page 8.
2.) DUE by 5 PM on
Thursday following
Senate
Announcement
Page 3 ( Completed
Appointee
Information page)
Page 11. (Student
Conduct Reporting
Form)
Form provided by
Rotunda receptionist
upon submission of
Pg.3.
Form is to be filled
out/signed.
DUE by 5 PM Monday
After Senate
Announcement
Page 4 (Appointee
Acknowledgement and
Release)
Take form directly to
SG Director’s officeroom 3401
Page 5 (Required
Meetings)
Pages 6-7 (Student
Response Requirement)
Page 9 Completed
emergency contact
form.
Page 10 Written
Requirement
Week 2
DUE by 5 PM The
Thursday After
Committee
Page 8 (Required
Attendance)*
*If approved by GO
committee.
Week 3
5.) Attend Senate
on Wednesday
 Interview by Senate
 Majority vote for
appointment.
2
Appointee Information
*DUE after Senate Announcement (Thursday) by 5 PM to Rotunda Front Desk*
Name: (last) ___________________________________ (first)
___________________________________
N Number: N______________________________
Classification: (circle one) freshman sophomore junior senior graduate
Anticipated Graduation Year: ______________________________
Major: __________________________________________________
Minor (if applicable): __________________________________________________
Email Address (most frequently used):
__________________________________________________
Cell Phone Number: ______________________________
Mailing Address: __________________________________________________
__________________________________________________
__________________________________________________
Declaration of Intention for Senate Appointment
I hereby declare my intent for senate appointment in the Student Government of the University of North
Florida. To the best of my knowledge, I shall fulfill all the requirements for said office as stipulated in Article II,
Section 2, of the Constitution and 1302.2 of The Government Oversight Committee Statue. I am also aware
that a 2.50 minimum GPA and enrollment in at least one (1) class during the Fall semester and in at least one
(1) class during Spring semester, and am not restricted from participation in Student Government by the
University of North Florida’s Student Conduct Office, which is required for candidacy.
________________________________
Print Name
________________________
Date
Signature
3
Appointee Acknowledgement and Release
*DUE
after Senate Announcement (Monday) by 5 PM to Rotunda Front Desk*
I understand that the Family Educational Rights and Privacy Act of 1974 (“FERPA”), popularly known as the
Buckley Amendment, and state law protect the privacy of student education records.
I also acknowledge that UNF’s Student Government operates in the “sunshine” as contemplated by Florida’s
Government-in-the-Sunshine laws, particularly chapters 119 and 286, Florida Statutes. Under chapter 119,
Florida Statutes, the “public records law”, all records related to the ‘transaction of Student Government business”
whether in writing, recorded, photographed, sent via email, text or otherwise created and/or produced, regardless
of format, are public records and subject to inspection pursuant to Florida law. As such, I acknowledge and agree
that records regarding my participation as an elected or appointed official in a branch of UNF’s Student
Government, other than those specifically related to my academic record (e.g., grade point average, etc.),
employment or other confidential student record(s) unrelated to Student Government service are public record
and subject to inspection by third parties. Under section 286.011, the “open meetings law”, meetings of the
legislature are open to the public and all procedural requirements regarding legislative meetings (e.g. -reasonable notice, open to the public, the taking of notes and the voting of all legislative members must be
recorded). Meetings of the executive staff and judiciary are not subject to section 286.011, Florida Statutes.
By signing below, I acknowledge that I understand the above and if requested any public records, broadly defined
as those regarding the “transaction of UNF business” related to my participation in or service to UNF’s Student
Government must be compiled and provided to my Student Government advisor for release to any requestor.
Further, I acknowledge and agree that my service as a member of Student Government is conditioned on my
compliance with Florida’s public records law and the open meetings law, where applicable. I also acknowledge
if I have questions regarding my rights to student confidentiality while participating in Student Government, I
have had the opportunity to ask questions of the appropriate University representatives so that I have been able
to make an informed decision before participating in Student Government and executing this Acknowledgment..
This Acknowledgment shall be valid for the 201__ to 201___ academic year (including applicable summer
semesters) and a new Acknowledgment must be executed at the beginning of the fall semester for each
academic year. In the event I opt not to participate in Student Government and my relationship with Student
Government terminates prior to the expiration of my elected or appointed term, only records regarding my
participation in Student Government during the time I served in my elected or appointed position will be subject
to disclosure under Florida’s government-in-the-sunshine law.
_________________________________________
(Print student’s full legal name.)
______________________
(Date)
UNF ID# ___N ______________________________
Student’s Signature: __________________________________________________________
4
Required Meetings
Appointee Name ____________________________________________________________
*DUE
the Monday after Senate Announcement by 5 PM to Rotunda Front Desk*
In order to be considered for Legislative appointment, you must meet with the
members of the Legislative Cabinet to introduce yourself and to discuss your goals
in being appointed to the Senate, as well as to gain insight into each position.
These meetings are your opportunity to ask any questions about SG, Senate,
policies and procedures, or any other topics or concerns.
______________________________
Signature of Senate President
__________________
Date
______________________________
Signature of Senate President Pro-Tempore/CSC Chair
__________________
Date
______________________________
Signature of B&A Committee Chair
__________________
Date
______________________________
Signature of GOC Chair
__________________
Date
______________________________
Signature of USA Committee Chair
__________________
Date
______________________________
Signature of SG Advisor
__________________
Date
5
Student Response
Requirement
Appointee Name ____________________________________________________________
*DUE
the Monday after Senate Announcement by 5 PM to Rotunda Front Desk*
In order to be considered for Legislative appointment, you must poll 30 students and obtain their printed name, signature, and N
Number. You have the option to poll an additional 5 students in the event that some signatures are false or redundant. Record your
answers in the boxes provided and encourage comments; have the students provide their information on the following page (page
7).
Did you know that SG is responsible for allocating the $4.45 million A&S fee budget?
Yes
No
Comments
Do you have a favorite Student Government-sponsored event, and if so, what is it?
Yes
No
Comments
Do you have a favorite Student Government-sponsored initiative, and if so, what is it?
Yes
No
Comments
6
Student Response Requirement
Appointee Name ____________________________________________________________
By signing below, I affirm that I am a registered student at UNF and that I have answered the preceding questions.
Printed Name
Signature
N Number
01________________________________________________________________________________________________
02________________________________________________________________________________________________
03________________________________________________________________________________________________
04________________________________________________________________________________________________
05________________________________________________________________________________________________
06________________________________________________________________________________________________
07________________________________________________________________________________________________
08________________________________________________________________________________________________
09________________________________________________________________________________________________
10________________________________________________________________________________________________
11________________________________________________________________________________________________
12________________________________________________________________________________________________
13________________________________________________________________________________________________
14________________________________________________________________________________________________
15________________________________________________________________________________________________
16________________________________________________________________________________________________
17________________________________________________________________________________________________
18________________________________________________________________________________________________
19________________________________________________________________________________________________
20________________________________________________________________________________________________
21________________________________________________________________________________________________
22________________________________________________________________________________________________
23________________________________________________________________________________________________
24________________________________________________________________________________________________
25________________________________________________________________________________________________
26________________________________________________________________________________________________
27________________________________________________________________________________________________
28________________________________________________________________________________________________
29________________________________________________________________________________________________
30________________________________________________________________________________________________
(31)_______________________________________________________________________________________________
(32)_______________________________________________________________________________________________
(33)_______________________________________________________________________________________________
(34)_______________________________________________________________________________________________
(35)_______________________________________________________________________________________________
7
Required Attendances
Appointee Name ____________________________________________________________
*DUE
day after GO interview (Thursday) by 5 PM to Rotunda Front Desk*
In order to be considered for Legislative appointment, you must announce yourself
at one (1) Senate meeting, attend one (1) GOC meeting—your interview with the
Committee—and one (1) additional Legislative Committee meeting that best suits
your interests. Obtain each Chair’s signature on this page after their respective
meetings.
Date of Senate Meeting Attendance: ____________________________________
______________________________
Signature of Senate President
__________________
Date
Date of GOC Meeting Attendance: ______________________________________
______________________________
Signature of GOC Chair
__________________
Date
Date of ____________________ Committee Attendance: ____________________
______________________________
Signature of _____________________ Chair
__________________
Date
PLACE TIMESTAMP BELOW:
The GOC Chair is available to answer any questions:
Student Government Rotunda (58E/3412) (904) 620-2750
sgagoc@unf.edu
8
Emergency Contact List
UNF Student Government(*due Monday
After Senate Announcement by 5 PM)
*Senators/ only: Date Elected/Confirmed (Fall/Spring- 20_____)
**Judicial only: Date Confirmed (_______________, 20_______)
Elect
Personal Information
Full Name:
Last
First
M.I.
Address:
Street Address
Apartment/Unit #
City
State
Cell Phone:
ZIP Code
Alternate Phone:
Email
N#:
Birth Date:
Allergies/Medical Conditions: ___________________________________________________________________
Emergency Contact Information
Full Name:
Last
First
M.I.
Address:
Street Address
Apartment/Unit #
City
Primary Phone:
State
ZIP Code
Alternate Phone:
Relationship:
Disclosure
Your phone number and contact information will be made available to the Professional Staff so you may be reached at all times.
Unless otherwise requested, your number will also be listed on the emergency contact list.


YES, I understand that my phone number will be listed in the SG Directory/Emergency Contact List.
NO, I do not wish my phone number to be listed in the SG Directory/Emergency Contact List.
Signature: ______________________________________
Date:_______________
PLACE TIMESTAMP BELOW:
The GOC Chair is available to answer any questions:
Student Government Rotunda (58E/3412) (904) 620-2750
sgagoc@unf.edu
9
Student Written Requirement
*DUE the Monday after Senate Announcement by 5 PM to Rotunda Front Desk*
Using 500 words or less you are asked to respond to the following question honestly and to the best of your
abilities. Your answer will be taken into account during your interview with the Government Oversight
Committee. Please turn in a typed version of your response.
Question:
Please explain how your involvement in Student Government will benefit this university. Furthermore, what
initiatives would you like to pursue during your term as a Senator and what leadership skills would you employ
to accomplish them?
PLACE TIMESTAMP BELOW:
The GOC Chair is available to answer any questions:
Student Government Rotunda (58E/3412) (904) 620-2750
sgagoc@unf.edu
10