Application for

Membership





In order to be considered for membership you must be a current or newly admitted student. Please complete this form and
return it via email (listed below). Please type all responses and attach an additional sheet if needed.

Membership Requirements
-Student enrolled at Georgia State University
-Cumulative GPA of 2.5
-Must serve on at least one committee
-Must attend Committee meetings as scheduled by Committee Chair unless prior notice is given
*Encouraged to attend monthly general body meetings. Attendance will be taken.


Last Name _____________________________ First Name ___________________________ Middle Initial ___________

Street Address ________________________________________________________________________________________

City ____________________________ State______ Zip Code____________________

Student Email Address ___________________________________ Primary Phone Number ________________________

PantherID Number ____________________________ Classification _________________________

Anticipated graduation date ____________________ Major ___________________________ Minor ___________ (optional)


Cumulative GPA ______

Committees (Please number in order of interest 1 being the highest):
Advocacy/Education

Community Service/Outreach

Fundraising

Public Relations
Please list any co- / extra-curricular activities or commitments you will have during the upcoming academic year.



Please list previous GSU organization involvement (list any elected, appointed, or volunteer positions you have held; be sure to list the
appropriate year/s)









The United Nations International
Childrens Fund Campus
Initiative:
at Georgia State University
Brown Morgan T
169 Jones Rd.
Hampton GA 30228
mbrown145@gsu.edu 770-707-0646
001-93-7215 Junior
2016 Middle Level Education
2.93


Application for
Membership



What qualities do you possess that will make you an effective member of UNICEF at Georgia State University?







Please list three goals, plans, or programs you hope to implement regarding the committee of your choice. (If you would like to be in
more than one committee, please list one goal/plan/program per each extra committee interested in.)














________________________________________ ___________________________________
Signature Date

E-Mail: sschikowski1@student.gsu.edu or twilliams147@student.gsu.edu
The United Nations International
Childrens Fund Campus
Initiative:
at Georgia State University
(If you would like to serve on two committees, please list one goal, plan, or program for the second committee of your choice.)
Completion and return of this application to the email addresses listed above verifies that the information provided is correct to the best
of the applicant's knowledge.