Official Use Only Meets Co-curricular requirements: Y

Associated Student Government University Committee Application 2012 -2013

The application period for the University Committee Appointments is from August 20st thru September 12th by Noon. University Committees are open to all full time University of Arkansas students. Committee appointments will be for one academic year. Any questions should be referred to Bobby Pennington, ASG Vice President asgvp@uark.edu. All information must be accurate and complete or your application will not be processed. Applications must be returned to the Office of Student Activities, ARKU A665 by Wednesday, September 12th by Noon Full Name: Student ID: Cell Phone Number: Classification: FR SO JR SR GR LAW E-Mail: Secondary Phone Number: Major: Semesters Enrolled at UA-Fayetteville: Have You Participated in the ASG Fresh HOGS Mentor Program?_________________ Street City State Zip Code

Anticipated Graduation Date: T-shirt Size: Local Address:

Please rank only the committees you would serve on starting with a 1 for your first choice, a 2 for your second, a 3 for your third, etc. Every effort will be made to give you your first choice when possible.

Administration Boards, Committees, and Councils

For more information on a specific committee, go to: http://www.uark.edu/admin/vcacsey/admnboards/index.html#bc

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Arkansas Union Advisory Committee (1 position) Building Facilities Committee (1 position) Computing Activities Council (1 position) Emergency Preparedness Council (1 position) Public Safety Council (3 positions) Safe Ride Committee (1 position, must be regular transit users) Student Media Board (1 position) Technology Fee Review Committee (4 positions) Traffic Appeals Court (2 positions) Programs Allocations Board (1 position and please visit asg.uark.edu for more information on PAB) Distinguished Lectures Committee (1 position)

Campus Council Committees

For more information on a specific committee, go to: http://www.uark.edu/depts/facsen/facsen2006to2007/Committees2006to2007.html

Campus Climate Committee (2 positions) Student Financial Aid Committee (2 positions) Faculty Senate Committees
For more information on a specific committee, go to: http://www.uark.edu/depts/facsen/facsen2006to2007/Committees2006to2007.html

Agenda Committee (1 position) Campus Council Steering Committee (1 position) Continuing Education Committee (1 position) English as a Second Language Committee (1 position, must be a non-native speaker) General Education Core Curriculum Committee (2 positions) Honorary Degrees Committee (1 position) Library Committee (2 positions) Research Council (1 position) University Course and Programs Committee (1 position) In addition, on a separate sheet of paper, please respond to the following questions: 1. Describe your campus involvement up to now. Please be sure to include what organizations you've been a part of, as well as any leadership positions you've held. 2. Why did you choose to apply for a University Committee?

By signing this document I acknowledge and agree to the following:

1.

2. 3.

4. 5. 6. 7.

I hereby give my consent to the Office of Student Activities and the Office of Academic Integrity and Student Conduct to examine my academic and disciplinary records for the purpose of verifying that I meet the requirements for participation in co-curricular activities (GPA of 2.25 and enrolled in at least 12 hours as an undergraduate or 6 hours as a graduate student). I understand that if selected as a University Committee member I will be responsible for all duties assigned as a part of my committee membership. I understand that as a University Committee member I will be responsible for attending and actively participating in committee meetings and will be responsible for meeting regularly as well as sending by-monthly reports to the ASG Vice President. I understand that as a University Committee member I represent ASG and the students of the University of Arkansas. I will do my best to actively seek input from students regarding the work of my committee and promise to dedicate my servitude to upholding the best interest of the student population and the University of Arkansas as a whole. I understand that after each committee meeting I must complete and turn in a full report of the committees progress and work. I understand that as an appointed member of ASG I am held to a higher standard and I will abide by the ASG Standard of Ethics (Outlined in the ASG Constitution, Article VII).

Signature of Applicant

Date

Applications must be returned to the Office of Student Activities, ARKU A665 by Wednesday, September 12th by Noon.