BellinghamTechnicalCollegedoesnotdiscriminateonthebasisofrace,color,nationalorigin,disability,sex,geneticinformation,orage
inadmission,treatment, orparticipationinitsprograms,servicesandactivities,orinemployment.AllInquiriesregardingcompliance
with access, equal opportunity and/or grievance procedures should be directed to the Associate
Director of Human Resources,
BellinghamTechnicalCollege,3028LindberghAvenue,Bellingham,WA98225,orcall3607528354.
1
StrivingforStudentSuccess
Contact:moconnor@btc.edu|360.752.8459|CollegeServices(CS)105
Services&ActivitiesStudentApplication
Name:___________________________DegreeIntent:_______________DueDate:October16,2015
Mission:
Topromotelongtermcollaborationbetweenstudentsandadministrationfortheequitable,
responsible,andconscientious collectionandallocationoffundsdedicatedtotheeducational,
professionaldevelopment,andmaintenanceofrelevantprogramandlearningopportunity servicesand
activityinitiativesforServicesandActivities(S&A)feepayingstudentsofBellinghamTechnicalCollege
(BTC).
1. Pleaseattachatypedstatementdescribingwhyyouareinterestedinbeingamemberofthe
S&AFeeBudgetCommittee(250wordlimit).
2.
StudentCriteria
Typeofstudent Checkallthatapply
Program
PreProgram
TransferStudent
ASBTCSenator
3. Willyoubeavailabletoattendonemeetingamonthbetween3:30pmand5:30pmona
Monday,Tuesday,orThursday?
Circleone‐Yes/No
Yes
No
BellinghamTechnicalCollegedoesnotdiscriminateonthebasisofrace,color,nationalorigin,disability,sex,geneticinformation,orage
inadmission,treatment, orparticipationinitsprograms,servicesandactivities,orinemployment.AllInquiriesregardingcompliance
with access, equal opportunity and/or grievance procedures should be directed to the Associate
Director of Human Resources,
BellinghamTechnicalCollege,3028LindberghAvenue,Bellingham,WA98225,orcall3607528354.
2
MemberDuties/Responsibilities:
Guidelines:
AllStudentmemberswillbe/have:
1. GoodintentionsandanunderstandingoftheS&A FeeCommittee’smissionpriortocommitting
tobecomeamember.Additionally,memberswillconductthemselvesinarespectfuland
professionalmanner.
2. AnS&AFeepayingstudent.
3. MaintainaminimumcumulativeGPAof2.5orhigher.
4. Notbeonacademicordisciplinaryprobationwithintheschoolorprogram.
5. Theintentofservingforone(1)academicyearoruntildegreecompletion,whichevercomes
first.
Intheeventastudentvotingmemberishabituallyabsentfrommeetings,failstorespondtoattemptsto
contact,or
isdeemedunabletoparticipateinthecommitteeduetotheguidelinesabove,thatperson
canberemovedfrommembershipbyasupermajorityvotewhichisdefinedasaminimumofseven(7)
votingmembersoftheS&AFeeCommittee.

Formoredetails,pleaserefertotheBellinghamTechnical
CollegeServicesandActivitiesCommittee
GuidelinespostedonASBTCwebpage,ortalktooneoftheVo tingmembers,orviewthisdocumentin
itsentiretyathttp://www.btc.edu/CurrentStudents/ASBTC/indexasbtc.aspxlocatedinthe“Documents”
folder.
Note:
Allelectedstudentofficersand representativesar esubjecttorecallonthegroundsofgrossmisconduct,
incompetence,absenteeism,failuretomaintaintherequirementsoftheirposition,and/orforviolations
ofChapter495B120WACCampusConductCodeorviolationsoflawsregardingcollectionandallocation
ofS&Afees
(RCW28B.15.045)asstatedintheASBTCConstitutionandByLaws.
Signature____________________________________________Date________________
Email_______________________________________________Phone_______________
SID#_______________________________________________
Alternativecontactmethod______________________________________________________________
PleasedeliverinpersontotheAdmissionsandStudentResourceCenterinCollegeServices(CS)106or
viaemailtoMarkO’Connor(3607528459),ASBTCAdvisor,atmoconnor@btc.edu.