CAPS/SSS Student Advisory Board Application

Name(Required)

First Last

Peoplesoft Number(Required)

Phone(Required)

UConn Email(Required)

Who is your CAPS/SSS Counselor?(Required)

Major(s)(Required)

Minor(s)

Are you available on Mondays 1:15-2:45 PM during the Fall 2023 Semester?(Required)

Current Class Standing(Required)

Are you a campus change student?(Required)

Yes

Which campus are you from?(Required)

Short Essay (250-300 words): What motivates you to serve as a CAPS/SSS Student Advisory Board member?(Required)

Short Essay (250-300 words): What qualities would you bring to this role in service to CAPS/SSS?(Required)

Please upload your updated resume(Required)

Max. file size: 250 MB.

MS Word or PDF format

Reference Name(Required)

First Last

This can be your CAPS/SSS Counselor, or someone else.

Reference Phone(Required)

Reference Email(Required)

Reference Relation to Applicant(Required)

Phone

This field is for validation purposes and should be left unchanged.