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CRW Advisory Council Application

Position Desired:

Name:

Phone:

Local Address:

Local Zip:

Email:

Classification:

Experience within Recreational Services Programs:

Previous Advisory Council Member

Employed by Campus Recreation and Wellness

Frequent Participant with CRW Activities (6+ CRW sponsored events during current year)

Occasional Participant with CRW Activities (1-5 CRW sponsored events during current year)

Student Recreation Center Member (includes all students)

Other

(Check all that apply.)

If you selected "Other," please explain:

What do you feel to be your best qualifications for this position?

Answer Here:

In your own words, what do you feel can be accomplished through an effective CRW Advisory Council?

Answer Here:

List other relevant campus activities or involvement which will be useful as a member of the Council:

Answer Here:

Please be advised that entering your initials in the box below is being used as the same legal binding as signing your signature to an official document. By submitting your initials with this form you are confirming that the personal information above is correctly identifying you and that you agree with this statement.

Date of Application:

mm/dd/yy

Initials: