Apply to the PASE Board of Directors

Name*

First Last

Email*

Phone*

School Address*

Street Address Address Line 2 City State ZIP Code

Date of Birth*

College/School*

Other college/school*

Major*

Minor

Cumulative GPA*

(High school GPA if freshman)

Classification*

Expected Graduation Date*

Student ID*

Number of semesters in PASE*

(including this semester)

Why did you choose to attend Purdue University?*

List current or past organizations in which you hold/have held membership and include dates of involvement. Please indicate all leadership positions held.*

(freshmen may include high school activities)

Please list your current commitments and time involved per week.*

How would you describe PASE to a potential new member (assuming they have no prior knowledge of PASE)?*

Why do you want to join PASE BoD and would you do to make PASE more visible on campus?*

Please upload your resume.*

Please upload a headshot for potential publication.*

Honor Statement*

I verify that the information I have provided on this application is accurate and true. I also give my permission to the Purdue Alumni Association to verify the above information with the Office of the Dean of Students and the Office of the Registrar.

I agree to the honor statement.

Email

This field is for validation purposes and should be left unchanged.