Student Rep Application

For 2026-2027, 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 Friday, February 13th. Electronic elections will occur and the results announced shortly there after.

Any questions? Please contact Scott Lotze, PIRSA President.

PIRSA Student Rep Nomination Form

* Indicates required field

Name *

First

Last

Institution *

Email *

Cell Phone Number *

Year *

FR SO JR Grad

Expected Graduation Date *

Current Position *

Currently a NIRSA Member? *

YES NO Unsure

Years working for Campus Rec *

Major *

How did you find out about this position? *

What clubs or organizations are you currently involved in on campus? *

Reference Name *

First

Last

Reference Phone Number *

Reference Email *

Submit

PIRSA Student Rep Nomination Form

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