Baylor > Health Center > Student Health Advisory Committee > SHAC Application

Student Health Advisory Committee Application

*Indicates Required Fields

*Personal Information

First Name:
Last Name:
Status:
Cell Phone:	( )
Email:
Major:
Anticipated Graduation Date:
How did you hear about us:

Please list previous employment or volunteer experiences and extracurricular activities.

Time Frame	Employer, Organization, etc.	Position	Description

*Please answer the following questions

1. Why do you want to be a member of SHAC and what do you hope to gain from the experience?

2. One of SHAC’s goals is to represent the needs of a varied student body to BUHS administration. What student communities and identities do you represent?

3. Describe a health initiative you would like to see implemented on campus. Provide a brief plan of action of how you would carry out that health initiative.

4. Have you been a consumer of services at Baylor Health Services? Were you satisfied with the services? Do you have any particular issues or concerns that you would want to focus on?

5. SHAC membership requires attendance at a weekly one hour meeting and 15-20 hours of volunteer time in each long semester. Can you commit to this amount of time to SHAC?
Yes	No
6. SHAC is involved in multiple arenas. Please indicate the area in which you would be most interested.

Thank you for your time and interest in completing this application. We will contact you by e-mail or phone regarding the next step in the application process.

Additional Services

McLane Student Life Center
2nd Floor
209 Speight Avenue
Waco, TX 76706
Phone: 254.710.1010
Fax: 254.710.2499