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* 1. First and Last Name

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* 2. Student ID#

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* 3. Current class year (sophomore, junior, senior). First year students are not eligible at this time.

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* 4. Current cumulative GPA

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* 5. Do you have any judicial incidents on your student record?

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* 6. Have you attended any of our events? If so, what did you think?

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* 7. What kind of leader are you? Please describe yourself and your leadership experience on campus.

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