Student Representative to the Board Application
ASID New Jersey Chapter
Two recommendation letters are required as part of the application. They may be submitted by ASID Student Members, Professional Members, faculty or employer. Letters can be emailed separately from this form to administrator@nj.asid.org.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
School
Are you in an advanced (upperclassman) level of study?
Yes
No
Have you read the requirements of the SRB and are you willing to take on these tasks?
Yes
No
Prior education/ASID leadership positions (please list):
ASID Activities (please list):
Community/Civic Activities (please list):
Why do you want to be the ASID New Jersey Student Rep to the Board?
Signature
Date
-
Month
-
Day
Year
Date
Continue
Continue
Should be Empty: