Student Government Fellowship Application

Name:__________________ Phone:__________________ Major:__________________

UMID Number:__________________ Unique Name:___________________ College:________________________

Standing: FR SO JR

SR GRAD TR

Expected Graduation Year:_________

__________________________________________________________________
Please answer the following questions, typed, and turn them in to the Student Government office or e-mail them, along with the above information, to Vice President Fareed Shalhout (fyshalho@umich.edu)

1.) Why do you want to be a part of Student Government at UM-Dearborn? 2.) What is one thing you would like to see improved at UM-Dearborn? How would you go about improving it? 3.) What other, if any, organizations or groups are you involved with on campus or in the community?
There is a necessary time commitment in order to participate in Student Government, including meeting and committee attendance as well as holding office hours. For clarification on the Bylaws regarding the Fellowship program, please review the Compiled Code on the Student Government website at www.umdstudentgovernment.com. Fall and Winter Student Government meetings are held every Friday evening at 6:00 pm.

Your signature authorizes UM-Dearborn Student Government to access education records in order to verify your eligibility for the Fellowship program. This sheet must be turned into the Student Government office, whether the above questions are emailed or not.

Printed Name:_____________________________ Signature: ________________________________ Date:____________________