DSAC Application

Name:
Address:
City:
State: Zip:
Phone:
e-mail:
Major(s):

Currently a:
First-year Sophmore Junior Senior

Briefly answer the following questions (one or two paragraphs each):

What actions would you like to see the committee accomplish during the next year or what issues would you like the committee to address?

What interests and experiences would you bring to this committee?
(You may cut & paste a resume if you wish.)