STUDENT GOVERNMENT MISSION STATEMENT
The mission of the SGA shall be to coordinate and regulate student activities; to provide a framework within which students may work to improve the college; represent the interests of students to the Board of Trustees; and recommend matters of interest and value for the college to students.
Please Email / Return Application to:
John Jamal Evans "JJ"
Room 228 Main Building

(336) 506-4367 / Application and all materials are due by Friday, April 8th, 2016 by 5:00 pm
Must be committed to serve for the 2016-17 academic year
PLEASE PRINT IN INK OR TYPE
Position Applying for
Date of application
GENERAL INFORMATION
Last Name First MI
Local Address City State Zip
Personal Phone Number (include area code)
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Home Phone Number (include area code)
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Personal E-Mail Address School Email Address (@access.alamancecc.edu)
Curriculum Hours Completed
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GPA (Last Semester)
Anticipated Transfer / Graduation Date
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GPA (Cumulative)
Student ID Number
Curriculum
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Concentration (if applicable)
Date available
Please type out the responses to the questions below:
1.  Why do you want to be a member of the Student Government Association? What skills do you have that qualify you for this position(s)?
2.  Please list any outside time commitments that you will have in the next academic year (include work / club / organizations).
3.  What are your short term educational goals? Long term educational goals?
4.  Please attach a letter of intent to become a SGA Executive Board Member. Include why you are running for office, what you bring to the position, and goals you would like to see SGA accomplish in the coming academic year. (This response will be shared to all students.)
REFERENCES
List at least one instructor / advisor not related to you who can attest to your professional abilities and character.
I,, do hereby announce my intentions to run for the office of within the Student Government Association at Alamance Community College. I realize that the holder of this office is required to commit time and energy to keep the Student Government Association a vital entity of ACC. Listed below are 25 signatures of current Alamance Community College students and one of my instructors or advisors who believe that I am able and qualified to maintain this office.
Signature: ______
Advisor Name Years Known
/ Occupation
Telephone No. (w/area code) Email address:
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Street Address City State Zip Code
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25. Students Name Signature Student ID number

GRADE VERIFICATION: Students in SGA must maintain a minimum 2.5 GPA per semester. (The SGA President must have a 3.0 GPA.) Please sign the following to authorize a check of your academic standing.

I understand my information will remain confidential, and hereby authorize the SGA Advisor to verify my academic standing by looking at my records.

If applying through email please initial and date below to certify above statement

Applicant’s Signature Date

STATEMENT OF QUALIFICATION:

I, (print name)______, state that I am qualified to seek executive office of the Student Government Association at Alamance Community College in accordance with the following requirements:

A.  I am a full-time registered Alamance Community College student having paid all tuition and fees and plan to enroll full-time next fall and spring semesters.

B.  I meet the SGA requirement of a minimum 2.5 cumulative GPA.

C.  I am in good social and academic standing with Alamance Community College.

D.  I am committing to the Student Government Association Executive Board for the full academic year.

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Signature Date

Return to SGA Advisor’s office, Student Activities Center Room 229, or email .