Mark the areas of programming experience you have below. Please provide a brief explanation of that experience in the fields provided.

Please list any co-curricular activities in which you have been involved. Note: The Programming Board Selection Committee reserves the right to contact these organizations.

List three professional/personal references that may be contacted by the selection committee. References should not be members of your family.

READ CAREFULLY: I understand by checking the box below that I am confirming this application to be complete and accurate to the best of my knowledge. I understand that incomplete applications will not be accepted. If information is found to be deliberately falsified, my application will be automatically disqualified from consideration. In addition, by checking the box below, I am acknowledging that I meet all requirements contained for a position on the SPEED programming board listed in the position descriptions. I will notify the SPEED programming board advisor immediately should I wish to withdraw my application from consideration.

Note to applicant: The SPEED programming board believes that high academic and ethical standards are essential to be an effective student leader. The SPEED Programming Board positions require that all members maintain a cumulative 2.75 GPA, be enrolled in at least six (6) credits at Roosevelt University, and be in good standing academically and within student conduct guidelines at the University in order to serve on the board. By checking the box below, you give the Center for Student Involvement permission to view your University records. Please be assured that this information will be held in the strictest confidence.