Student Affairs Parents Advisory Council Application Form
Application and Statement of Interest form for applicants to the Parents Advisory Council
Items with an
*
indicate a required field.
Welcome and thank you for your interest in the Parents Advisory Council.
For 2013-14, applications will be accepted until July 26, 2013.
First Name
*
Last Name
*
First Name of Spouse/Partner
Last Name of Spouse/Partner
Address Line 1
*
Address Line 2
City
*
State
*
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Phone
*
Work or mobile phone
Email
Name of Ball State Student (s)
*
Student's major (s)
Please list your community activities and affiliations.
Please comment why you would like to serve on the Parents Advisory Council.
*
Thank you for completing the form. Review of applications will begin after July 26, 2013. We will follow up with you after the review.