Student Health Advisory Committee Application 2017-2018

How many credits do you plan to take next year?
What other commitments do you anticipate in the coming school year? (e.g. fraternity/sorority, other student organizations, athletics, job, volunteer work)
Total number of hours per week when combining commitments listed above:

Are you willing to commit to work at least 3-5 hours per week in the coming year and attend all required weekly SHAC meetings? SHAC meetings are held Wednesdays from 5:30pm - 6:30pm.

Please write a response to the question: “Why do you want to join the Student Health Advisory Committee?” Please discuss your qualifications, strengths, weaknesses, expectations, etc. Essentially, tell us why YOU would be a valuable SHAC member. (Please limit your answer to 5-10 sentences).
What ideas do you have for improving the University Health Center’s services next year? (Please limit to 5 sentences)
What student health issues do you believe need to be addressed in the upcoming year? (Please limit to 5 sentences)

By submitting this application you are acknowledging and agreeing that upon selection, you will:

  • meet the University Health Center Immunization Requirements by May 31, 2017,
  • participate in an August 2017 University Health Center Orientation and Training
  • participate in a minimum of 75% of Student Health Advisory Committee activities, 
  • attend required weekly meetings and 
  • adhere to conduct becoming of a Student Health Advisory Committee member. 

Ensure your information is correct and complete. 

DO NOT HIT THE SUBMIT BUTTON MORE THAN TWICE. 

Please be patient. Our form is experiencing a glitch which makes it appear that the form has not been submitted. Email shac.umd @ gmail.com if you would like to confirm receipt of your application.

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