Today's
Date: __________________
Name:
_________________________
Student #: ______________
Address:
____________________________________________________
Home
Ph #: ____________
Beeper #: ______________
Work
Ph#: _____________
Cell Ph#: ______________
Email:
________________________
Program
of Study: _______________________
Expected
Graduation Date: _______________
What
Talents, skills or ideas do you want to bring to the Medical Campus
SGA?
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Are
you willing to participate in any student activities? Yes ___
No ___
All
applicants must be currently enrolled in at least 6 credits at
the Medical Center Campus & have a minimum GPA of 2.0.
President
and Vice President must have a minimum GPA of 2.5. Please attach
a copy of your degree audit and current class schedule.
Submit
application to Student Life/ SGA, Room 1150
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