University of Kansas Replacement Senator Application, Fall 2013

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Replacement Student
Senator Application
Name: _______________________________________________________________________
Current Phone Number: ___________________________Email:_________________________
Current Address: _______________________________________________________________
Dean’s Certification of Enrollment:

Dean’s Stamp:

I certify that (applicant’s name) _________________________

Is enrolled in (school/college) __________________________
Date: ______________________________________________

Please indicate the vacant Senate seat(s) for which you would like to be considered by circling
the appropriate position(s).
-------------------------------------------------------------------------------------------------------------------{Fr/So CLAS}*
{Jr/Sr CLAS}**
{Graduate}
{International Graduate}
{Business}
{Off-Campus}
1.
Please describe any previous participation in Student Senate activities, including
campaigning, volunteer work and membership on Student Senate boards and committees.
DO NOT specify affiliation with any specific Student Senate coalition---describe election
season involvement in general terms. Please specify dates of involvement.
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*
**

Freshman/Sophomore College of Liberal Arts and Sciences (Less than 60 credit hours
completed)
Junior/Senior College of Liberal Arts and Sciences (60+ credit hours completed)

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2.
Please describe any other activities in which you have been involved, including
membership on committees and boards, departmental committees, clubs, associations and
other groups.
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3.
Why do you want to be a Student Senator?
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Signature ________________________________ Date _______________________________
Student ID Number ________________________




Return completed forms to the Student Senate Office, 410 Kansas Union, no later
than 5:00pm on September 13th.
Interviews will be scheduled as needed.
The Replacement Senator Committee will select nominees and those nominees will
be considered in Full Assembly on September 25th. If approved, you will
immediately take office at that meeting.

Forms Needed for Consideration:
o
Replacement Student Senate Application
o
Petition of 50 Signatures OR $20 filing fee
Graduate, Law and Non-Traditional students, as well as candidates who
completed this requirement in the Spring 2013 general and Fall 2013 Freshman
elections are exempt from this requirement.

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