Application to be an Appointed Student-at-Large
For additional questions or assistance, please contact Ashley Joseph, ASI Associate Director for Student Government at aljoseph@cpp.edu
Date of Application *
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Name (First, Middle, Last) *
Bronco ID # *
Date of Cal Poly Pomona Entrance *
To be eligible, you must have at least one semester completed at Cal Poly Pomona.
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CSU Pomona Email Address *
Total Units Completed *
Number of Units Enrolled In *
To be eligible, you must be currently enrolled in at least 6 semester units.
Committee(s) Applying For: *
Required
Please Check the Areas That Interest You: *
Required
Primary Phone Number *
Current Major *
Expected Graduation Date *
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