Student Union Assembly - UC Santa Cruz

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Campus Committees

Apply for Committee Membership

SCOC

Contact

If you have any problems filling out this application, please email sa-web@ucsc.edu. Please include as many details of your problem as you can.

Please list the top 3 committees you are interested in and capable of serving on. You may be appointed to more than one committee at your request or the first available committee of the 3.

You may wish to browse the list of committees or compare positions before applying.

* - required

Position Preference*:

Committee Preference 1*:

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Committee Preference 2:

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Committee Preference 3:

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How many hours are you willing to commit per week*:

How many committees are you willing to be placed on*:

First Name*:

Last Name*:

Grad Year*:

Year:

Major:

College*:

Email*:

Public Phone*:
This phone number may be published

Private Phone:
This phone number will not be published

Live On/Off Campus:

On-Campus Off-Campus

If On-Campus - Box#:

If Off-Campus - Local Mailing Address:

Address
City	State	Zip

Permanent Mailing Address:

Address
City	State	Zip

Date of Birth (mm/dd/yyyy):

Gender (optional):

Ethnicity (optional):

Contact, Organizations & Titles:

Interest and Experience:
In 250 words or less, please explain why you are interested in the committee(s) you are applying for and explain what campus issues and concerns are important to you. Add any prior experience, knowledge, or skills would you bring to each committee.

I have read and agree to the "Terms of Appointment" and authorize the SCOC to release all necessary information to parties in connection with any committees to which I may be appointed.

UC Santa Cruz Student Committee on Committees
Student Union, 2nd Floor • 1156 High Street • Santa Cruz, CA 95064
831-459-5533 • fax (831) 459-5187