Student Rep Application

For 2017-2018, 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 Friday, February 10th.

Any questions? Please contact Jill Harper, PIRSA President.

PIRSA Student Rep Application

Name *

First

Last

Institution *

Email *

Phone Number *

Expected Graduation Date *

Current Position *

Currently a NIRSA Member? *

YES NO Unsure

Years working for Campus Rec *

Major *

GPA *

Statement #1--Moving students in PIRSA Forward *

Statement #2--Bio *

Reference Name *

First

Last

Reference Phone Number *

Reference Email *

Submit