Application for student government executive board

Please state which Exec. Board Position you are seeking election to:______.

Applications can be turned in to the SGA office (3467 in the SSC). They are due byWednesday, March 21st by 5:00 PM. You must have at least thirty (30) semester hours of credit from GSW, must be enrolled for twelve (12) or more semester hours and maintain no less than twelve (12) hours throughout term. In the case of graduate students, six (6) semester hours will be sufficient.The election will be held from Monday, March 26 at 8am until Friday, March 30 at Noon.

General Information:

Name: ______

LastFirstMiddle

Preferred Name on Ballot: ______

GSW ID: ______

Contact Information:

Home Address: ______

______

Cell Phone Number: ______RADAR Email Address______

Campus Information:

Classification: ______Current GPA: ______

Major: ______Minor: ______

GSW Mail Campus Box (if applicable): ______

Residence Hall: ______Room Number: ______

Are you on any type of probation? (academic, disciplinary, social, etc.)___YES___NO

Are you currently enrolled as a full-time student at Southwestern?___YES ___NO

Campus Activities:

______

Reasons for seeking this Student Government Executive Board position:

______

______

requirements FOR the STUDENT GOVERNMENT Association

Meetings of the Governing Body are held every Thursday at 5:00 PM in the Student Success Conference Room. If elected, you are expected to attend all meetings and actively support SGA-sponsored events.

In order to qualify for any position with the Student Government Association, a candidate must meet the following qualifications:

  1. All members of the Governing Body must have earned at least twelve (12) hours of academic credit at Georgia Southwestern State University at the time of appointment or installation.
  2. Must have an overall Graduating Grade Point Average of 2.75 or above at the time of election or appointment and maintain a Graduating Grade Point Average of 2.75 throughout tenure.
  3. Shall be enrolled in at least twelve (12) academic hours at the time of appointment or election and maintain at least twelve (12) academic hours throughout term. In the case of graduate students, six (6) academic hours shall be sufficient.
  4. If running for an office on the Student Government Association Executive Board, one must have served at least one academic term (semester) in the Student Government Association as a Senator or Alternate.

STATEMENT OF UNDERSTANDING

I, ______, do hereby pledge to follow the Constitution, Bylaws, and guidelines set forth by the Georgia Southwestern State University Student Government Association and in all regards will represent the University in a positive manner. I further understand that by signing this application, I give the Student Government Association Elections Chairperson and Faculty Advisor(s) permission to verify my grade point average and probation status with the University.

______

Signature of the Candidate for SGA Executive BoardDate

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for SGA Office use only

Does the candidate have the required GPA?_____YES_____ NO

Does the candidate have the required number of hours?_____YES_____ NO

Is the candidate a full-time student?_____YES_____ NO

Is the candidate on any type of probation status?_____YES_____ NO

  • For this question only, contact Dr. Darcy Bragg, Assistant Dean of Students and Chief Judicial Officer – Office of Student Life.

Is the candidate qualified to run for the SGA? _____YES_____ NO

______

SGA Elections Committee ChairSGA Faculty Advisor

February 10, 2017

Georgia Southwestern State University – University System of Georgia

An Affirmative Action/Equal Opportunity Institution