Student Government Member Questionnaire

Contact Information
Name Name * First Last
Cell Phone Cell Phone * - ### - ### ####
UTA Email Address *
UTA Student ID (1000#) *
UTA Net ID *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please select the branch/part of Student Government you are part of. *

Please select the branch/part of Student Government you are part of. Student Senate External Relations Committee Legislative Relations Committee Supreme Court Election Supervisory Board Leadership Team
Member Questionnaire
Birthday Birthday * / MM / DD YYYY
Major *
Classification *
T-shirt Size *
Polo Size *
Favorite Candy *
Favorite Color *
Why did you want to be a member of Student Government? *
What do you want to gain from the organization? *
What other organizations are you involved in? List your other campus involvement and what position(s) you hold. *