<p>PLEASE PRINT CLEARLY OR TYPE Date: _____/_____/ 20_____</p><p>E-mail: ______</p><p>Phone: (______) ______- ______</p><p>Student ID#: ______</p><p>Address: ______Street City State Zip </p><p>Class standing: ___Grad ___Sr ___Jr ___Soph ___Fresh </p><p>Class Credits Spring 2015 Semester: ______Cumulative GPA: ______Expected Date of Graduation: ______</p><p>Declared Major(s): ______</p><p>Minor(s): ______</p><p>Why are you interested in serving on this committee?</p><p>How would you solicit student input on tuition and fees?</p><p>What experience do you have that is relevant and helpful to serving on this committee?</p><p>List current campus employment and involvement: ______</p><p>Please indicate BSU references (non-relative) who have first-hand knowledge of your campus involvement, academic achievement, and/ or work experience: </p><p>Name Address Phone</p><p>Name Address Phone</p><p>I certify that all the statements made in this application are true, complete, and correct to the best of my knowledge. I understand and agree now, and anytime during my committee appointment, that my enrollment status and GPA may be verified.</p><p>Signature of Applicant Date </p><p>APPLICATION DEADLINE: January 30, 2015</p><p>Return completed application to: Office of the Vice President for Student Affairs In Person: Administration Building 208 By E-mail: [email protected] Fax: (208) 426-1062</p><p>Questions? - Call (208) 426-1418</p>
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