Application for General Membership

If you have questions, please contact Marina Jacobe at (573)341-4280
or email her at mljvff@mst.edu


1.  Basic Information (all information required)

First Name
Last Name
Local Address
City
ZipCode
Phone
Email
Student ID Number
Major
Expected Graduation Date (YYYY-MM-DD)
Grade Level
   

2.  Representation (optional)

New Member Returning Member

Organization Representing
Size of Organization

Are you replacing another member? Yes No

Organization's Email

Presidents Email

What type of Membership?

Committee Choice 1:

Committee Choice 2:

Committee Choice 3:

Student Council members must attend all Student Council meetings (alternating Tuesdays at 6:30 - this does not apply to Committee Only members), committee meetings, and they must perform committee work and project hours each semester. In addition, all members must regularly report to and gather feedback from constituents.

3.  Are you able and willing to meet these requirements? Yes