Graduate Senator Application
Name
*
First Name
Last Name
UMBC E-Mail
*
example@example.com
Which best describes your enrollment status?
*
Master's
Doctoral
Professional or Certificate Program
Other
UMBC Student ID
*
Name of Program
*
e.g. Chemistry MS or LLC PhD
To which college does your program belong?
*
CNMS
CAHSS
COEIT
How would you like your application to be considered (you can check both boxes)?
*
I would like to be considered for an academic graduate senator (for my college)
I would like to be considered as a non-academic graduate senator (for the general interests of graduate students at UMBC, i.e. cultural, social, professional, ...)
References
Please supply the name of five individuals. A single reference from a member of the UMBC faculty belonging to the department of the applicant and four graduate students. The four graduate students must all be current graduate students at UMBC. At most two of these graduate students can be from the academic program of the applicant. NOTE: These references come in the form of simple yes/no questions that will be emailed to the individuals you specify. Nothing time consuming!
Faculty Name
First Name
Last Name
Faculty UMBC EMail
example@umbc.edu
Name of Department
*
e.g. Chemistry, History, IMDA
Student 1 Name
First Name
Last Name
Student 1 UMBC EMail
example@umbc.edu
Name of Program
*
e.g. Chemistry MS or LLC PhD
Student 2 Name
First Name
Last Name
Student 2 UMBC EMail
example@umbc.edu
Name of Program
*
e.g. Chemistry MS or LLC PhD
Student 3 Name
First Name
Last Name
Student 3 UMBC EMail
example@umbc.edu
Name of Program
*
e.g. Chemistry MS or LLC PhD
Student 4 Name
First Name
Last Name
Student 4 UMBC EMail
example@umbc.edu
Name of Program
*
e.g. Chemistry MS or LLC PhD
Please provide a brief statement of interest. Be sure to highlight any interests or qualifications as they relate to the GSA or the graduate experience at UMBC.
*
Submit
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