SHAC membership application

Interested in becoming a member of SHAC?

Date «

Name «

Home/Dorm Phone «

Work Phone

Address «

City «

State «

Zip «

E-mail «

Year of School «

College «

Gender

Male

Female

Major «

Activities/Community Service, duration «

What previous experiences or ideas or qualifications will you bring to SHAC? «

What group of students will you represent on SHAC? How will you improve communicate with them? «

Please explain why you are interested in serving on SHAC «

Goals for SHAC involvement «

Future Career Goals «

Resume

No more than one side of one page

Fields marked with "«" are required.

E -mail SHAC@loyola.edu with any questions.