UNIVERSITY OF CALIFORNIA, DAVIS BERKELEY • DAVIS • IRVINE • LOS ANGELES • MERCED • RIVERSIDE • SAN DIEGO • SAN FRANCISCO COLLEGE OF AGRICULTURAL AND ENVIRONMENTAL SCIENCES DIVISION OF AGRICULTURE AND NATURAL RESOURCES AGRICULTURAL EXPERIMENT STATION COOPERATIVE EXTENSION OFFICE OF THE DEAN AND DIRECTOR OF PROGRAMS (530) 752-0108 (530) 752-4789 (Fax) SANTA BARBARA • SANTA CRUZ DAVIS, CALIFORNIA 95616-8571 October 2008 The Dean’s Student Advisory Committee (DSAC) As a student in the college, you have an opportunity to be heard and to participate in shaping college policy. Each month, the dean and/or associate deans meet with representatives of DSAC. We discuss issues that provide us with a dynamic link to students and their perspectives. We inform students as to what the Dean’s Office is doing and why. You are invited to apply to participate in the governance of the college, serve on college academic committees; and to volunteer for important college activities and events. If you are interested, please complete the attached application and return it to the address indicated on the form. If you are currently a member of DSAC, complete the one page application only. Sincerely, Neal Van Alfen Dean Attachments Dean’s Office · 150 Mrak Hall · (530) 752-0108 www.caes.ucdavis.edu LAST NAME: __________________________ FIRST NAME: ___________________________ M.I.: _____ I.D.#: __________________________________E-MAIL ADDRESS: ________________________________ CURRENT MAILING ADDRESS_____________________________________________________________ CITY: ______________________________________ STATE: ___________ ZIP: ______________________ SUMMER MAIL ADDRESS OR PERMANENT MAILING ADDRESS: _________________________________________________________ CITY: _______________________________ STATE: __________ ZIP: ______________________________ MAJOR: _________________________________________________________________GPA: __________ ADVISER: __________________________ HIGH SCHOOL COMMITTEES/COMMUNITY ACTIVITIES: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ I PLAN TO GRADUATE: QUARTER: _____________________________YEAR: ___________________ The following questions are designed to help us learn more about you and make the evaluation of your application as objective as possible. There are no right or wrong answers. Please answer all these questions thoughtfully and carefully. If additional space is required, attach a separate sheet to the application. 1. Each DSAC representative brings with him/her different experiences, skills, and interests. The role of a DSAC representative is intentionally unstructured in order to capitalize on the strengths of each individual. What skills, interests, and ideas do you feel you would bring to the position? 2. An important ingredient for the success of any organization is the level of commitment of its members. Please comment on the level of your involvement in other campus, high school or community organizations and how it would affect your commitment as a DSAC representative. 3. One of the primary duties of DSAC members is to provide the dean with views representative of students within the college. How would you define the role of a representative, including ways to encourage interest and input on college issues? 4. Do you feel any campus or job-related activities you have had will contribute to your effectiveness as a DSAC representative? Explain. Signature of Applicant: ______________________________________________Date: ___________________ PLEASE RETURN TO: College of Agricultural and Environmental Sciences Dean’s Office University of California One Shields Avenue – 150 Mrak Hall Davis, CA 95616-8571 ATTN: Ana Stevenson