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Undergraduate Student

Government
Office of the President & Vice President
Application for Executive Cabinet
2011-2012
Name: _________________________________

UMS:_________________

Interests:

Why are you interested in serving in the Cabinet?

How have you previously been involved on campus (jobs, clubs/centers, volunteering, etc)?

By signing this form I give permission to Student Activities & Leadership to check my records in order
to confirm eligibility to serve as a member in the Cabinet. Furthermore, I agree to abide by the Student
Leader Code of Conduct. I also understand that, if chosen for a position, I serve at the pleasure of the
President of the Undergraduate Student Government and must continue to meet the required criteria set
in the governing documents of the USG and the Student Leader Code of Conduct throughout my
tenure. Lastly, I understand this is a volunteer position and that if I wish to vacate office, it is requested
I do so with at least 2 weeks notice given in writing to the President of the Undergraduate Student
Government.

______________________________________________ ________________________
Signature Date

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