WCU PSYCHOLOGY DEPARTMENT STUDENT LIFE COMMITTEE
NOMINATION FORM FOR STUDENT REPRESENTATIVES
The Student Life Committee (SLC) is a working group of faculty and students whose purpose is to improve
departmental climate and functioning for undergraduate psychology majors. SLC solicits feedback from
students about issues that are important to them, develops resources for students to enhance their academic
and professional development, and sponsors the Annual Psychology Department Career Day and Research
Day.
SLC Student Representatives…
(1) Get to know department faculty by working collaboratively and exchanging ideas;
(2) Influence department policies and procedures for the benefit of other students;
(3) Have the chance to represent fellow students in departmental activities
Nominee’s Full Name _____________________________________________________
Last
First
Middle Initial
How many undergraduate credits have you completed? ______
Are you a transfer student?________
Please answer the following, using as much additional space as you need.
What personal qualities and previous experience do you think would make you a
good leader on the Student Life Committee?
What are two current strengths of the WCU Psychology Department?
What are two important issues that you think the department should address to
make the student experience better?
BY FRIDAY, OCTOBER 15, 2014, PLEASE RETURN THIS COMPLETED FORM TO:
DR. GEETA SHIVDE, GSHIVDE@WCUPA.EDU
WCU PSYCHOLOGY DEPARTMENT STUDENT LIFE COMMITTEE
NOMINATION FORM FOR STUDENT REPRESENTATIVES
By signing below, I agree to have my name submitted for consideration to serve as a Psychology
Student Life Committee Student Representative for a minimum term of one year. I also understand
that this service includes attending regular meetings and assisting with SLC activities. Fall 2014
meetings are scheduled on selected Mondays from 3-4 p.m.
*If your schedule does not allow you to attend meetings at this time, please indicate that on the
form, and we will consider your application as an auxiliary member of the Student Life
Committee.
________________________________________
___________________
Signature of Nominee
Date
BY FRIDAY, OCTOBER 15, 2014, PLEASE RETURN THIS COMPLETED FORM TO:
DR. GEETA SHIVDE, GSHIVDE@WCUPA.EDU