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Application
Name:
Address:
City:
State:
Zipcode:
Phone:
Email:
Major(s):
Currently a:
First-year
Sophomore
Junior
Senior
What actions would you like to see the committee accomplish during the next year or what issues would you like the committee to address? (One or two paragraphs.)
What interests and experiences would you bring to this committee? (You may cut & paste a resume if you wish.)
