Delegate Interest Form

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Please fill this form out if you or your organization is interested in having a representative on our delegate team. If you have any questions please reach out to Kat: kat@ksecoalition.org

Keep in mind active recruitment and onboarding typically happen June-August for the start of the Fall Semester. We will do our best to follow up in a timely manner regarding your interest form so you are connected with the most up to date information. This form will ensure that you are notified when the Delegate Application goes live!

You do not have to be a student organization to be involved.

First/Last Name *

Pronouns *

Phone Number *

Email *

Best method to contact you?

Community/Location & Organization *

Do you serve any other leadership role in your organization? If so, what role?

(this isn't a requirement- just curious)

Graduation date if applicable

We would love to hear a brief overview of why you are interested in this role, and what you are hoping to get out of this experience?

Room for questions and/or comments

Submit

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