Application Form to join an Advisory Board in DSA

Application/Nomination Form for Advisory Committees and Focus Groups Fall 07 - Winter 08

Please fill out a separate form for each of the following Student Affairs groups in which you are interested or for which you wish to nominate a student. Note that
this form applies only for the few groups listed below. Consult the Division of Student Affairs website for information about the many other advisory opportunities. Please apply online by September 16, 2007

Council for Disability Concerns
International Center Task Force
LGBTA Advisory Board
 Dean of Students Office Advisory Group
SAPAC Advisory Committee
 Student Activities & Leadership Focus Groups

Name of volunteer/nominee:

Email address of volunteer/nominee:

UM school or college:

Anticipated graduation date:

Please write a few paragraphs describing your interest in the work of the unit
designated above, interest in or concern about specific issues, and any particular
background you would bring to the advisory effort. If you are nominating a student,
please provide similar information.



Name of person completing form:

Email address:

NorthCampus