Student Rep Application

For 2021-2022, 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 12:00pm on Friday, March 12th. Electronic elections will occur March 15 to April 4 with the results announced shortly there after.

Any questions? Please contact Pete Vincent, PIRSA Vice 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 interested in this position? Please expand on your qualifications and experiences. *

Reference Name *

First

Last

Reference Phone Number *

Reference Email *

Submit