Future Leaders Conference Survey s1
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Future Safety Leaders Conference (FSLC) Student Attendee Selection Worksheet
ASSE and the FSLC Task Force will limit the number of attendees for this year’s conference to 120. This will allow the conference to maintain continuity, more efficiently utilize sponsorship dollars, and deliver a better product for the attendees. Invitations will be extended to each Student Section President and Vice President. The remaining attendees will be selected based upon criteria outlined below, the recommendations of their respective Faculty Advisor and a short essay prepared and submitted by potential student candidates. Each University may nominate up to 10 students for attendance to the conference.
FACULTY ADVISORS: In order for your students to be eligible to attend the 2010 FSLC, please complete the information and return the completed worksheet to [email protected] NO LATER THAN SEPTEMBER 10, 2010.
STUDENTS: All students wishing to attend the conference are required to submit a two (2) question short essay worksheet to the FSLC Task Force for consideration of invitation to the FSLC. PLEASE SUBMIT YOUR ESSAY ALONG WITH THIS SELECTION WORKSHEET. The essay questions are to be completed on a separate form found on http://www.asse.org/membership/student_fslc.php.
If you have any questions related to the process please contact one of the following FSLC task force members: Julie Neuleib – [email protected] Don Jackson – [email protected]
University: ______
Total Number of Students enrolled in a Safety, Health or Environmental related major: ______
Total number of A.S.S.E. Student Section Members: ______Student Section President Student Section Vice President
Name : Name:
E-mail: E-mail:
Membership Membership Number: Number:
The remaining students will be selected based on a combination of factors including, but not limited to: academic performance, class standing, student section membership, and faculty advisor comments and recommendations. Student Nominee Has previously Active Student ASSE Overall GPA Class Standing attended this Member: Y/N 3.0 or higher (JR, SR, or Grad) conference Provide Membership # Name: Y/N
email:
Briefly describe why this student should attend this conference.
Future Safety Leaders Conference (FSLC) Student Attendee Selection Worksheet
Student Nominee Has previously Active Student ASSE Overall GPA Class Standing attended this Member: Y/N 3.0 or higher (JR, SR, or Grad) conference Provide Membership # Name: Y/N email:
Briefly describe why this student should attend this conference.
Student Nominee Has previously Active Student ASSE Overall GPA Class Standing attended this Member: Y/N 3.0 or higher (JR, SR, or Grad) conference Provide Membership # Name: Y/N email:
Briefly describe why this student should attend this conference.
Student Nominee Has previously Active Student ASSE Overall GPA Class Standing attended this Member: Y/N 3.0 or higher (JR, SR, or Grad) conference Provide Membership # Name: Y/N email:
Briefly describe why this student should attend this conference.
Future Safety Leaders Conference (FSLC) Student Attendee Selection Worksheet
Student Nominee Has previously Active Student ASSE Overall GPA Class Standing attended this Member: Y/N 3.0 or higher (JR, SR, or Grad) conference Provide Membership # Name: Y/N email:
Briefly describe why this student should attend this conference.
Student Nominee Has previously Active Student ASSE Overall GPA Class Standing attended this Member: Y/N 3.0 or higher (JR, SR, or Grad) conference Provide Membership # Name: Y/N email:
Briefly describe why this student should attend this conference.
Student Nominee Has previously Active Student ASSE Overall GPA Class Standing attended this Member: Y/N 3.0 or higher (JR, SR, or Grad) conference Provide Membership # Name: Y/N email:
Briefly describe why this student should attend this conference.
Future Safety Leaders Conference (FSLC) Student Attendee Selection Worksheet
Student Nominee Has previously Active Student ASSE Overall GPA Class Standing attended this Member: Y/N 3.0 or higher (JR, SR, or Grad) conference Provide Membership # Name: Y/N email:
Briefly describe why this student should attend this conference.
Student Nominee Has previously Active Student ASSE Overall GPA Class Standing attended this Member: Y/N 3.0 or higher (JR, SR, or Grad) conference Provide Membership # Name: Y/N email:
Briefly describe why this student should attend this conference.
Student Nominee Has previously Active Student ASSE Overall GPA Class Standing attended this Member: Y/N 3.0 or higher (JR, SR, or Grad) conference Provide Membership # Name: Y/N email:
Briefly describe why this student should attend this conference.