Name
Street
City
State
Zip
Phone
Email
High School
Years Attended to
College Major
Year Freshman Sophomore Junior Senior Fifth Year Graduate Other
Anticipated Graduation Date
Why do you want to be part of the CUSG Student Health Board?
What qualities do you feel you would bring to the board?
What do you think are important health issues for CU Students?
What other activities are you involved in?
What are your future plans (not limited to health-related aspirations)?
What are three words you would use to describe yourself, and why?
Tell us an interesting talent you possess or a fact about yourself.
