Student Representative Application

Two letters of recommendation should be submitted separately by email to See the Letters of Recommendation Guidelines for more information.

Applicant Information

Date of Birth(Required)

Applicant Experience

Please provide your activities, affiliations, volunteer and/or work experience.

Letters of Recommendation

Please provide name and email for the recommendation contacts.

1. Recommendation Contact Name(Required)
2. Recommendation Contact Name(Required)


Please provide brief responses to each of the following questions. (250 word limit per response.)

Does your schedule permit you to attend quarterly Board meetings?(Required)