President Vice-President
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
___________________________________________ ________________________________
_________________________________________________________________________________________________
Position Seeking:
STUDENT GOVERNMENT ASSOCIATION (SGA) APPLICATION
Secretary/Treasurer Representative
NOTE: Scholarships are available for Executive Officer positions ONLY.
Name: ___________________________________ Student ID#: _____________________________
Address:_________________________________________________________________________
City State Zip
Telephone: (home)__________________ (work)__________________ (cell)__________________
DOB: _______________________________ Major: ______________________________________
Hours Enrolled (current semester): ___________ Hours Earned: ___________ GPA: ___________
Do you have any previous Student Government Association experience? ______ Yes ______ No
If yes, explain: ____________________________________________________________________
Reason(s) for seeking office: _________________________________________________________
NOTE: Reasons for seeking office will be posted on the web along with your photo.
Interests/Activities (Community and School): _____________________________________________
I agree to abide by the rules of the Election Board.
I agree that this information including my election photo may be published in
any College publication and on the Student Government Association website.
If elected as an Executive Officer (President, Vice-President, Secretary/Treasurer), I will
maintain full-time status (12 hours or more) and at least a 2.5 overall grade point average.
I will also perform the duties of my office as described in the BPCC SGA Constitution.
If elected as a Representative, I will maintain part-time status (at least 6 hours) and
at least a 2.0 overall grade point average. I will also perform the duties of my office
as described in the BPCC SGA Constitution.
Signature of Applicant Date
NOTE: Return application to F-220 by the deadline date posted at www.bpcc.edu/sga/index.html.
(FOR OFFICE USE ONLY)
Photo Number(s): _________________ Physical Description: _____________________________________________
click to sign
signature
click to edit
![]()
