Office of Minority Affairs and Diversity
Student Advisory Board Membership Application
Applications are due Friday, May 16th 2012 via email to omadsab@uw.edu
Only email copies of the application will be accepted; label the subject “SAB Membership
Application.”
Name: ____________________________
Class Standing: _________________________
UW Email: _________________________________
Phone Number: __________________________
Expected Graduation Date: _________________
Yearlong Commitment Agreement to OMA&D SAB: _______ Yes
_______ No
Applying for (mark the option that applies):
_______ At Large Seat
_______ RSO Representative Seat (If so, refer to next two questions below).
Indicate the name of your RSO: ____________________
RSO Registered with SAO: Yes________
No________
Answer each of the following questions in no more than 200 words.
1. Please list any UW campus activities in which you have been involved and any
leadership positions and or training you have held.
2. Provide a brief overview of your contributions to diversity and the campus community at
UW Office of Minority Affairs and Diversity, UW and underrepresented populations.
3. What are some experiences you’ve had with diversity and how has this shaped your
definition of diversity?
4. How do you plan to communicate the information you learn from SAB back to the
organization that you are representing or to the larger UW community?