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Student Government Senator Application Name: ___________________________ Phone:___________________________ Major:___________________________ Standing: FR SO JR SR GRAD UMID Number: _____________________ Unique Name:

______________________ College: ____________________________ Expected Graduation Year:____________

Please answer the following questions, typed, on a separate sheet of paper. 1) What is one thing you would like to see improved at UM-Dearborn? How would you go about improving it? 2) How did your experience as a fellow impact you and did you learn anything within your committee? 3) Please list any extracurricular activities and your positions within them. This may include job experience, student organizational involvement, volunteering, etc. 4) How do you think you can contribute to Student Government at UM-Dearborn? There is a necessary time commitment in order to participate in Student Government, including meeting and committee attendance as well as participating in office hours. For clarification on the Bylaws regarding the Senator position, please review the Compiled Code on the Student Government website at www.umdstudentgovernment.com

Your signature authorizes UM-Dearborn Student Government to access education records in order to verify your eligibility within the Senate.

Printed Name:________________________ Signature:____________________________ Date:___________________

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