Name *

First Name

Last Name

Phone *

(###)

###

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Positions of Interest *

Please check all that apply

President

Vice President

Secretary

Treasurer

Promotions Officer

Liturgy Chair (non-executive)

Activity Chair (non-executive)

Music Chair (non-executive)

Eligibility Requirement for students living at BHSU Newman Center: *

In order to be considered eligible for a JacketCatholic leadership position, a student must be officially registered as a student in good standing (minimum 2.0 cumulative GPA, and not on academic or disciplinary probation) during the year they live at the center. Check all that apply

Currently Enrolled- 12 hours

Currently on Disciplinary Probation

Currently on Academic Probation

GPA of at least 2.0