Student Advisory Board Application

Step 1 of 4

Name*

First Last

Email*

Phone*

Current year in school*

Anticipated graduation date (term & year)*

Tell us how you are engaged with UConn*

Organizations, clubs, programs, employment, etc. Add lines as needed.

Engagement

Date(s)

Advisor/Supervisor

Why you are interested in becoming a member of the UConn Recreation Advisory Board.*

In your opinion, how does campus recreation impact the UConn community?*

Please provide the name, phone number, and email of two (2) references and how you are associated (former supervisor, advisor, professor, etc.)*

Name

Relationship

Phone

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Name

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UConn Recreation