Leadership Application

1

Contact Info* This field is required

Name

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2

Phone Number

Area Code

Phone Number

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3

What year to you expect to graduate?

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4

What is your major?

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5

Why are you interested in BASIC’s leadership team?* This field is required

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6

What strengths would you bring to the team? Weaknesses?* This field is required

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7

Are you involved in any other groups on campus?

YESNO

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8

List other groups and the positions you hold(if any)

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9

What do you drink at Starbucks?

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11

Any other comments or information you would like to share?

YESNO

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12

Other comments/Information

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