Student Advisory Council Membership Application

Student Advisory Council Membership Application
Full Name

FirstMiddleLast
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell Phone
Home Phone
KCC student email
example@example.com
Student ID
Enter your seven-digit KCC sudent ID
Semester hours currently enrolled in
(Must be enrolled in a minimum of 6 semester hours at the time of election and throughout membership)
Current G.P.A.
(Must maintain a 2.25 GPA or higher at the time of election and throughout membership)
Anticipated KCC graduation date
Why would you like to be on the Student Advisory Council?
If selected, would you be interested in holding a position in the Student Advisory Council?

YesNo
If yes, which position and why? (Positions are President, Vice President, Recorder, and Marketing/Community Outreach Coordinator)
If you have any questions, contact the Office of Student Life , Room L112, (815) 802-8628 or studentlife@kcc.edu
Print your entry form BEFORE you submit it.
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