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ITSAB Application
First Name:
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Last Name:
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E-mail:
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Phone #:
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Are you able to commit to the time, dates, and duties outlined on the ITSAB website:
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yes
no
Please state why you would like to serve on the IT Student Advisory Board:
Is there anything else ITSAB should consider when reviewing your application to be a board member:
Please list any clubs or organizations you are a member of:
Please indicate degree type:
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Undergraduate
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Professional
Non-Degree
If you wish, indicate any community affiliations:
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Non-Traditional Student
Other Community Affliliation:
Residence:
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