Student Government Association 2015-2016 Senator Name: ____________________________________________ Classification: FR SO JR SR Last Middle First Email: ________________________ Phone: __________________________ Have you ever served as a Senator or been active on a Senate Committee? Yes No If so, when did you serve and what committee(s) did you serve on? _______________________________________________________________________ If appointed, which committee do you wish to serve on? (Rank top 3... 1 being your first choice) ____ Allocations ____ Athletic Support ____ Campus Life ____ Philanthropy and Safety ____ Policy and Government Relations ____ Publicity Campus Involvement: ____________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ What would you like to work to accomplish as an SGA Senator? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ What do you feel is the role of an SGA Senator? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Student Number: _______________________ Grade Point Average: _____________________ I hereby give the SGA Executive Board permission to verify my cumulative GPA and understand that this information will remain confidential. ___________________________________ Signature ________________________________ Date Please return to the SGA Vice President of Student Senate. Suite 402-D, Theron Montgomery Student Commons Building.