New and Returning School of Public Health Student Leadership Council Member/Faculty Committee Participants Information Sheet
Thank you for your interest in joining up with the SLC and/or sitting on one of the faculty committees!
ALL students are welcome in SLC - so welcome!

Please tell us a little bit more about you!

**NOTE: ALL OHSU and PSU students are welcome in the School of Public Health Leadership Council as general members. Officer positions (e.g. track representatives, steering committee, co-chairs) and committee appointments are reserved for School of Public Health students. **

First Name
Your answer
Last Name
Your answer
Email address
Your answer
Degree Program
Program Track/Major (e.g. Epidemiology, Health Promotion)
Your answer
What activities, positions are you interested in being involved in and/or nominated for? (Check all that apply)
We store SLC materials currently on google drive. If you have an alternative email address you prefer to use with google drive, please provide it here:
Your answer
Anything else you want to share with us?
Your answer
Never submit passwords through Google Forms.
This form was created inside of Portland State University. Report Abuse - Terms of Service