Pre-SOMA Philanthropy Coordinator Application Name Street Address City ST ZIP Code Best contact phone number E-Mail Address Graduation Date/Employment status Instructions National Pre-SOMA invites all National Pre-SOMA members to apply to become part of our committee! This application is for individuals interested in applying to be our Pre-SOMA Philanthropy Coordinator. Please make sure to read the job description carefully before applying. The top three scoring individuals will be interviewed by the current National Directors via phone interviews. If you have any questions, please contact us at presoma@studentdo.com. Good Luck! Please answer each question on a separate sheet. Each response should be limited to 400 words or less. Pre-SOMA Involvement Tell us how you have been involved in Pre-SOMA in the past and currently. You may list SOMA and PreSOMA conferences (or other relevant conferences) you have attended. Availability After carefully reading the job description, please let us know how you will balance this job with your other responsibilities. Special Skills or Qualifications Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports, that may qualify you for this job. Agreement and Signature By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as part of the National Pre-SOMA Committee, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. Name (printed) Signature Date Our Policy It is the policy of the Student Osteopathic Medical Association and National Pre-SOMA to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. We do, however, prioritize students who are applying in the application cycle this summer (May 2015) and students who are closer to that process (i.e college juniors and seniors and post bac students). Thank you for completing this application form and for your interest in working with National Pre-SOMA. National Pre-SOMA revised 2015