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First Name:
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Last Name:
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Student Number:
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Home Address:
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Street:
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City:
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State:
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Zip:
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E-mail Address:
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High School Attended:
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University Address
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Street:
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City:
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State:
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Zip:
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University Phone Number:
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Present Classification:
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Expected Date of Graduation:
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Cumulative GPA:
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Major:
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Minor:
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Current member of STAT?
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Yes
No
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References
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List the names, phone numbers and e-mail addresses of three people who would be able to comment on you qualifications:
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1.
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Name:
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Phone Number:
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E-mail Address:
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2.
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Name:
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Phone Number:
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E-mail Address:
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3.
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Name:
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Phone Number:
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E-mail Address:
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College Extracurricular Activities
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List college extracurricular activities. Include leadership positions.
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Activity
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Years
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Positions Held
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Why do you want to be a member of the UNI CATS organization?
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What does it mean to be a leader on the UNI campus?
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Why is it important to establish traditions on our campus?
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List one or two things you would like to give back to UNI before you graduate.
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Submit form
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Thank you for applying to CATS. If you have any questions please contact Connie Hansen, Advisor, at 273-3036 or constance.hansen@uni.edu.
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| Please return application by October 31 at 4:00 p.m. Finalists will be selected and notified for an interview. |
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CATS
Office of Alumni Relations
1012 W. 23rd St
Cedar Falls, IA 50614-0284 |
