Freshmen Leaders On Campus

                                    FLOC Application 2008-2009

                                 Due Date:  August 2, 2008

Name: ______________________________________________________________

                        First                                                         Last

Campus or Local Address:

      Residence Hall (if applicable):____________________________________________

      Number & Street: ______________________________________________________

      City, State, Zip: _______________________________________________________

      Phone:  _________________ Cell Phone: ________________

Permanent Address:                    Same as above

      Number & Street: ______________________________________________________

City, State, Zip:    ______________________________________________________

 

Phone: ______________________________

Email address: ____________________________

Please Indicate Shirt Size:______                     Birthdate: ___________

  I. Please provide the following information:

·         Why are you interested in being a part of Freshmen Leaders On Campus?

·         What can you contribute to FLOC?

·         Please define leadership and service (no more than 100 words).

  II. Please attach a resume including a list of leadership activities.

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 August 20, 21, or 22.  I will be able to attend FLOC meetings each Monday at noon.

            Signature: _________________________ Date: _______________________

Please send complete application to:

UTA Student Governance

Box 19350

Arlington, TX 76019

817-272-2293

You may be entitled to know what information UT Arlington (UTA) collects concerning you. You may review and have UTA correct this information according to procedures set forth in UT system 8PM #32. The law is found in sections 553.021, 533.023 and 559.004 of the Texas Government Code.