SGA - Intent to Run

Student Affairs

200 University Parkway, Suite 317

Yakima WA 98901

Phone: 509-249-7724

Fax: 509-249-7909
Student Government Association - Intent to Run
As a reminder: every student is limited to three leadership positions, and one presidency. This includes student government positions. Please address any questions to student affairs, or the SGA executive vice president.
Student Name *

First Name Last Name
Student Phone Number

Area Code Phone Number
E-mail *
Class of *
Date *

Month Day Year
Student Leadership Positions *

Club Leadership SGA Leadership
SGA Position Desired: (Please check one or more) *

Executive President Executive Vice President Executive Secretary Executive Treasurer Class President Class Vice President of Student Affairs Class Vice President of Academic Affairs Class Secretary-Treasurer Class Senator for Legislative Affairs Class Senator for Campus Programs Class Senator for Administrative Services Class Senator of Public Relations Class Senator of Diversity and Inclusion
Club Position Desired (Please check one or more) *

Club President Club Vice President Club Secretary Club Treasurer
List Clubs for which you intend to run for office (if multiple clubs, list the positions you are applying for for each club) *
Ex - SOMA - Club President, Emergency Medicine Club - Club Secretary, etc.
Reasons for interest in holding this office *
I have obtained and read the following forms and agree to follow the terms and responsibilities as described in each document:
"Position Descriptions" as defined in the current version of the SGAC Constitutional By-Laws *

Yes No
Students serving as SGA executive or class officers, club officers, and PNWU representatives at national meetings or in any similar position must maintain good academic standing. The criteria for determining academic standing are based on our policies for alert, warning, and probation. Please see the Academic Standing section in the Student Catalog for details. If a student holding SGA executive, class, or club office is placed on alert they must immediately meet with the Office of Student Affairs to determine if their involvement is preventing their successful completion of academic obligations. It will be at the discretion of the Office of Student Affairs to determine if a student should continue in their position. If a student is placed on warning or probation, they must immediately resign from their SGA executive, class, or club office. This is not viewed as disciplinary, but rather as a supportive effort to thelp the student be successful at reaching their academic goals.
I acknowledge that by pressing the submit button, I am officially signing this document. My typed name below is my symbol and intent of authentication where I willingly signed, understand, and adopt this document.
Signature *

First Name Last Name
For Use By Student Affairs
Reviewed By:

First Name Last Name
Date Reviewed

Month Day Year
Status

Approved Not Approved
Reason
Should be Empty:

Student Government Association - Intent to Run

For Use By Student Affairs