Student Leadership Council Application

All fields marked with * are required.

Term Applying For *

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

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.


Contact Information

Advisor

Paige Bergmann
Brock Student Center
319-296-2329 ext.1018
Email Paige Bergmann

Student Activities

Brock Student Center
319-296-4027
1-800-670-4769 ext.4027
Email Student Activities

Regular Hours — Fall 2021

Monday–Thursday 7:30am–4:30pm
Friday 7:30am–3:30pm

If campus is closed, the Brock Student Center is also closed. This includes weather-related closings. See the Academic Calendar for scheduled college closings.

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