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Student Application for 2008 NIC/NPC Congressional Visits

 

Please complete this test form before proceeding to complete the application!

This extra precaution is to minimize any technical difficulty during the submission of your application. If this test is unsuccessful, it is recommended that you use the printable version of this form. Thank you for your time and cooperation!

Your e-mail address:

This application is due by Feb. 1, 2008.

Your Contact Information
Full Name:
E-mail:
 Cell Phone Number: () -
Affiliation/University:  
Major:
Graduation Date:
School Address:
(including zip code):

 

 
Permanent/Home Address:
(if different from school address)

 
   
Emergency Contact Information
Contact Name:
 Relationship:
(Father/Mother/Uncle, etc.)
Phone Number: () -
   
Greek Advisor Information
Name:
Phone Number: () -
   

Your Qualifications
Chapter Leadership Roles:
 (Please highlight specific leadership roles and accomplishments)
Campus Leadership Roles:
  (Please highlight specific leadership roles and accomplishments)
Please list any campaign experience, in the office of an elected official, or in the legislative process.
   
   
Are you a registered voter?
Yes No
If so, in what state?
   
Personal Statement
   
Why would you like to be a student representative for the 2008 NIC/NPC Annual Congressional Visits and Reception?
   
Please write a 1-2 sentence
"biography" in the third person  (Exmaple: Jim is the President of Sigma Chi at Indiana University)
   

Resume
Please paste your resume
(Formatting may not be retained)
You may also e-mail your resume to Gwendolyn:
   

 

Upon completion of your application, please click on the "Submit" button once.

Don’t forget to apply online at https://www.nicindy.org/forms/CongressionalVisits.php and send a copy of your resume to meghan@nicindy.org by February 1st.

 

 

 

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