2009-2010 GSC Representative Registration Form

2009-2010 Graduate Student Council representative registration*

*GSC representatives have to be appointed by their departments before registering.

First Name: *

Last name: *

Email: *

Role: *

Representative

Alternate

Executive Council*

*The Executive Council membership includes the Executive Committee and Internal Committee Chairs

If you selected Executive Council, what is your role?:

Campus Mailstop: *

Four digit campus mailing address

College: *

If representing an organization, select liason (non voting) or Non-Departmental Organization (voting). Visit http://gsc.tamu.edu/representatives for organization status.
Executive Branch includes Executive Committee members and SRW Director

Department/Program/Organization: *

If other, list name of department/program/organization:

Representative Status: *

Graduation Date: *

Anticipated date of graduation from current program. If you don't know the specific day, select the 15th.

Appointed by: *

Nominator has to be Graduate Advisor/Program Director/Organization Officer or Advisor

Appointer Email: *

A copy of this registration will be sent to the appointee once this form is submitted.