Student Rep Application

For 2019-2020, the PIRSA Leadership Team will have an opening for PIRSA State Student Representative. Students interested should CURRENTLY be a Freshman, Sophomore, Junior or Graduate Student. If you are interested in standing for the position please complete the application by 4:00pm on Wednesday, June 26th.

Any questions? Please contact Allison Yarrow, PIRSA President.

PIRSA Student Rep Nomination Form

* Indicates required field

Name *

First

Last

Institution *

Email *

Cell Phone Number *

Expected Graduation Date *

Current Position *

Currently a NIRSA Member? *

YES NO Unsure

Years working for Campus Rec *

Major *

Why are you nominating yourself or this student? *

Reference Name *

First

Last

Reference Phone Number *

Reference Email *

Submit