Student Government Association - Executive Board Position Nomination Form

Thank you for your interest in the SHP Student Government Association. To run for a Student Government Association Executive Board position students must meet the following requirements:

1. Students must be currently registered for at least six (6) credits 2. Candidates must have completed at least twelve (12) credits at Rutgers School of Health Professions and have at least a 3.0 cumulative GPA. 3. Candidates for all positions cannot have any student code of conduct infractions.

If you meet these requirements, then please proceed with the application.

Last Name*

First Name*

Date*

Program*

Rutgers Email*

Phone*

Campus*

Select or enter value

Student ID (A00...)*

What position are you nominating yourself for?*

Select or enter value

What is the name of the SHP administrator or faculty member who will be completing your SGA recommendation?*

Please make sure you provide your recommender with this link to the SGA recommendation form: https://app.smartsheet.com/b/form/eacb74600cb6497da7b142f729eddd7d

What qualifies you to serve in this position?*

Why do you want to serve in this position? Include at least three (3) goals you would have in this role.*

Please attach the following items to fully complete your application.*

1. Statement of Purpose (why you should be elected for said position). Your statement of purpose will be utilized in election announcements via email and on our website. 2. Picture of yourself. The picture you submit will be used when nominees are announced to all students via email, and online on our website. 3. (Optional). You may submit a video expressing your statement of purpose, or why students should vote for you. OR if you would like assistance/advisement for your video then please email osa@shp.rutgers.edu.

Drag and drop files here or

Please check any of the boxes below to indicate any other SGA Executive Board positions you would consider if they are available.

President

Vice President

Secretary

Treasurer

Social Media Chair

Fundraising Chair

You can find the Student Government Association nominee application file and recommendation form on the SHP Student Government website here:

By submitting this application, you agree to have your picture and statement utilized for the election process.

Please submit when completed.

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