Associated Students Officer Application
100 Campus Center, Student Center (Bldg 12)
Seaside, CA 93955
Tel: (831) 582-4073
Fax: (831) 582- 4336
PLEASE COMPLETE THE ENTIRE APPLICATION AND SUBMIT TO THE ASSOCIATED STUDENTS’ OFFICE
(STUDENT CENTER ROOM 125) NO LATER THAN 5:00 PM ON MONDAY APRIL 27, 2015.
NOTE: All applicants must attend a thirty minute interview held by the Associated Students’ Hiring
Committee on the week of April 27th. Priority for interview time slots will be given to the applicants
whose applications are turned in first. Applicants must also attend the Associated Students’ Senate
meeting held on May 4th at 12:15 pm to answer Senate’s questions before the Senate vote is held.
TYPE OR PRINT CLEARLY
NAME: ___________________________________
SID# ___________________________________
OTTER ID (I.E. NAME1111): ______________ SHIRT SIZE: ______ PHONE # (____) ______- ____________
EMAIL ADDRESS: __________________________
MAJOR: ________________________________
LOCAL ADDRESS: _______________________________________________________________________
CITY: _____________________________ STATE: ___________ ZIP CODE: _________________________
PERMAMENENT ADDRESS: _______________________________________________________________
CITY: _____________________________ STATE: ___________ ZIP CODE: _________________________
Please indicate the position for which you are applying (a separate application is required for each position ):
___________________________________________________________________________________
What brought you to student government and why do you want to apply: (Use separate page if necessary):
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Have you reviewed the formal duties of this position in the AS Bylaws or other relevant documents?
Yes
No
If No, please explain: _____________________________________________
Please list or describe your qualifications for this position. (Use a separate page if necessary) _________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
What are 3 goals would you like to accomplish if you are appointed? (Use separate page if necessary) __
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Please indicate days and times that you are available. (I.E. class/work/other commitment schedules)
Mon
Tue
Wed
Thu
Fri
Sat
Sun
What other leadership positions or organizational involvement have you participated in and for how
long?
Organization Name
Your Title
From (MM/YY)
To (MM/YY)
From (MM/YY)
To (MM/YY)
From (MM/YY)
To (MM/YY)
1
Duties Performed
Organization Name
Your Title
2
Duties Performed
Organization Name
Your Title
3
Duties Performed
How did you hear about Associated Students?
Publicity- Posters, emails etc.
Referred to by a student officer
Referred by faculty/staff member
Read ad or calendar event in school newspaper
Associated Students Website
Other: _______________________________
AS student officers must be matriculated at CSUMB, maintaining a semester grade point average (GPA)
of 2.0, a cumulative GPA of 2.0, (Environmental Affairs Committee Commissioners: GPA of 2.5) and not
be on probation of any kind. These requirements apply for any student government office. Every
applicant shall be responsible for compliance with the provisions and eligibility requirements as set forth
in the Minimum Standards for Student Leaders - CSU Coded Memorandum: AA-2012-05 and in the AS
Constitution and Policies and Standard Operating Procedures. Applicants not meeting minimum
requirements may be disqualified. Each applicant must be a CSUMB student and be taking at least a halftime academic load (At least six semester units for undergraduates and three semester units for
graduates) during their term of office.
I have read the above and agree to uphold the qualifications of the office for which I am applying.
Signature: ______________________________________________
Date: _____________________
I authorize the Associated Students to release my name, information offered in personal intent and
title of office that I am seeking to representatives of the media.
Signature: ______________________________________________
Date: _____________________
Submit this form to the Associated Students in Student Center, Room 125
For Office Use Only
Date Application Received
By
(Officer/Staff Signature)
Date Eligibility Verified ________________________________________ By ______________________
(Chief of Staff Signature)
Date Applicant Contacted for Interview
By
(Chief of Staff Signature)
Applicant Interviewed?
Yes
No Date Interviewed_________ Interviewed By:
If no, explain
Applicant placed?
Yes
No
If yes, provide the title of position to which appointed