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PERSONAL INFORMATION
First Name:*
Middle Name:
Last Name:*
Campus or Local Address  
Residence Hall (if applicable:

Number & Street:*
City:*
State:*
Zip:*

     Home Address

 
Number & Street:
City:
State:
Zip:
Home Phone:*
Cell Phone:
Email:*
Please Indicate Shirt Size:
Birth Date*
(mm/dd/yyyy):
 
 

Please provide the following two items:

1) Responses to the following questions: (between 100 to 200 words per response)

Why are you interested in being a part of Freshman Leaders on Campus?

Please define leadership and service .

 

2) Email your Resume to mollyalfers@uta.edu including, a list of leadership activities, work experience and community service involvement

(keep your First name  as the subject of email).

 

 

Upon filling out this application I understand that, if I am selected to be a member of FLOC, I am taking one of a limited number of positions. Therefore, I agree to participate to the best of my ability. I will be available for an interview on January 19th or 20th.  I will be able to attend FLOC meetings each monday at Noon.