Student Leadership Council Application

Term Applying For *

• Fall 2022
• Spring 2023

First Name *

Last Name *

Hawkeye Email *

Phone *

High School Attended *

Major/Program *

Semester Graduating *

How did you find out about the Student Leadership Council? *

What qualities do you feel you can contribute that would make you a good Student Leadership Council member? *

Please list activities and events you have been involved with: *

What special achievements have you accomplished? *

If selected to participate in the Student Leadership Council, what are your goals? *

Criminal Record

The term "convicted" includes a guilty plea, a plea of nolo contendere or no contest, a deferred judgment or adjudication, and an adjudication of guilt or delinquency as a minor.

Convictions will not necessarily bar you from being a Student Leadership Council member. We will consider the number, nature, seriousness, and recency of the convictions in making our decision.

Have you ever been convicted of a felony? *

• Yes
• No

If yes, explain

Have you ever been convicted of a serious or aggravated misdemeanor? *

• Yes
• No

If yes, explain

Due to the nature of Student Leadership Council and your representation of the school, inappropriate behavior of any kind will not be tolerated. Please review the Student Leadership Council handbook for code of conduct.  We reserve the right to dismiss any student as a council member for actions that may reflect poorly on the college or the group.

An interview may or may not be required but you will be notified by email when the application is approved.