SGA Member/ Board of Trustees (Student) Application

Name*

First NameLast Name

Email*

example@example.com

E#*

optional

Major*

Hours Earned*

Semester first you attended ETSU*

Cumulative GPA*

Position Applying For (only choose one):*

ExecutiveSenatorJunior SenateBoard of Trustees Student Member

If you are applying to be an SGA Executive or Senator are you free on Tuesdays at 4:00 p.m. for at least 2 hours?*

Type Yes or No

Are you able to complete at least one additional office hour each week in the SGA Suite, on the 2nd floor of the D.P. Culp Student Center?*

Type Yes or No

Current Involvements and Activities (limit to college if a Sophomore or above):*

Why do you feel qualified for this position?*

What do you want to accomplish with your leadership/involvement in SGA?*

Attach a resume or other documents

Declaration of Intent: By declaring my candidacy for elective office, I agree to abide by the elections and campaign rules as described by the Student Government Association Constitution and Standard Operating Procedures. I am aware of the specific duties of this position and further understand that it represents a responsibility that I am prepared to fulfill to the best of my ability.*

Type Yes of No

Grade Release Information: According to the Student Government Association Constitution, Article III, Section 3, sub-section A, item 2: All prospective and current members of the Student Government Association shall be required to sign a grade release form, thereby allowing the Senate Review Committee to view applicants’ cumulative grade point averages (GPAs) prior to applying for any position. This form may manifest itself as an individual release form or as a component of the election application or selection application. Failure to sign this form will make you ineligible for the following: Affiliation as a candidate, officer, cabinet member, justice or senator of the Student Government Association. In order to comply with the Educational Rights and Privacy Act (Public Law 93-380) passed by the 93rd U.S. Congress, as amended November 19, 1974, it is necessary for each member or potential member to sign the statement contained herein in order that the advisor can verify candidacy requirements and the Senate Review Committee can review students who fail to meet the minimum 2.5 GPA to remain in office. I hereby grant the Advisor to the Student Government Association permission to release my current semester grades and ensuing semester grades as long as I am a student involved with the Student Government Association of East Tennessee State University. I also authorize release of my early semester progress report in the event the Senate Review Committee requests it in conjunction with my SGA probationary status.*

Type Yes or No