Application for SHAC NAME Area of Study EMAIL Local Address Permanent Address Local Phone Cell Phone Why are you interested in becoming involved in the Student Health Advisory Committee What ideas do you have for improving the health services here at LSC? What previous experience will you bring to SHAC? (in regards to health education/health promotion/health policy/student health assessments) What other organizational commitment or employment might you be involved with? What time of day would work best for you to meet and what day of the week? Please check all that apply. 9-10 AM 12-1:00 PM 3 - 4:00 PM Monday Tuesday Wednesday Thursday
Application for SHAC
NAME
Area of Study
EMAIL
Local Address
Permanent Address
Local Phone
Cell Phone
Why are you interested in becoming involved in the Student Health Advisory Committee
What ideas do you have for improving the health services here at LSC?
What previous experience will you bring to SHAC? (in regards to health education/health promotion/health policy/student health assessments)
What other organizational commitment or employment might you be involved with?
What time of day would work best for you to meet and what day of the week? Please check all that apply.
9-10 AM 12-1:00 PM 3 - 4:00 PM
Monday Tuesday Wednesday Thursday
