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Fall 2009 Intent-to-Run Form

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This application is available from Wednesday, August 26, 2009 at 12:00 AM to Tuesday, September 1, 2009 at 5:00 PM.

This application is past due.

Load previously saved answers

Full Legal Name

(First Middle Last)

Position Sought

  1. Senate -- First Year Undergraduate
  2. Senate -- First Year Graduate

Current College/School

Current Classification

Date of Initial Enrollment at University

Local Address

(include street, city, state, and zip)

Email Address

Phone

Ballot Name Format

Student ID Number

Please direct application questions to lbpullum@ncsu.edu

307 Witherspoon Student Center / Campus Box 7318
(919) 515-2797 / Fax: (919) 515-5898
student_government@ncsu.edu
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