Community College of Allegheny County
Board of Trustees
__________________________________________
Student Trustee Application
Part 1. General Information
Please note: The student trustee must maintain full-time status during his/her one-year term.
Name: _____________________________ ________________________ _________________________________
First Middle Last
Student ID Number: __________________________
Email Address: ______________________________
Mailing Address: __________________________________________________________________________________
Street Address: ___________________________________________________________________________________
City: ___________________________________________ State:___________________ Zip Code:_______________
Telephone Number: ____________________________ Mobile Number: _____________________________________
Campus Attending: ________________________________________________________________________________
Major: __________________________________________________________________________________________
Anticipated Graduation Date: ________________________________________________________________________
Grade Point Average: __________
Part II. Activities & Work Experience
Please upload a résumé describing your work experience, college activities and community involvement.
Part III. Personal Statements
Please answer the follow questions. Your replies should not exceed 250 words per question.
1. Why are you seeking the student trustee position? What qualities, experience and/or knowledge do you have that
make you uniquely qualified to serve on the CCAC Board of Trustees?
2. What do you believe is the function of the CCAC Board of Trustees? What role should the student trustee play?
Part III. Personal Statements (continued)
1. If selected, how would you represent and maintain contact with students across the college?
2. What do you believe should be among CCAC’s highest priorities?
3. What do you believe are the greatest challenges facing CCAC?
4. What are your future academic and/or career plans?
Part IV. References
Applicants need at least one, but no more than three, letters of recommendation. One of the recommendations must be from
a CCAC faculty member, who must submit the recommendation directly to the Office of the President, attention: Bonita
Richardson (see below for mailing instructions).
All recommendations should include the name, address, telephone number and email address of the individual providing the
recommendation. The recommendation should focus on your leadership skills and/or your role on campus, in the professional
arena or in the community, as well as information regarding your problem-solving abilities.
Students will receive notification once the completed application and recommendations have been received.
Recommendations may be emailed or sent via regular mail.
Email address: brichardson@ccac.edu
Mailing address: Bonita L. Richardson
Assistant to the President and Board of Trustees
Community College of Allegheny County
Office of the President
Byers Hall Ste.109
808 Ridge Avenue
Pittsburgh, PA 15212
Part V. Attest
I understand that my educational records are protected by the Family Educational Rights and Privacy ACT of 1974. I
understand that, with a few statutory exceptions, my records may not be disclosed without my consent.
By my signature below, I certify that all of the information in this application and in my résumé is true. I understand that any
false statements made herein may result in rejection of this application or, if I am ultimately appointed to the Board of
Trustees, in my dismissal from the board.
Name: ____________________________________________________
Signature: _________________________________________________ Date: _______________________________
_____________________________________________________
click to sign
signature
click to edit