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Student Health Advisory Council Application

The mission of SHAC is to promote communication and collaboration between student representatives and Health Services staff in order to ensure that Baylor University students' health needs are identified and met. Furthermore, SHAC serves to introduce a student voice in the review and the development of health care policies and programs in order to continue providing high quality, efficient, and cost effective health care for our fellow students.

*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. How do think your experiences and skills could contribute to SHAC?
3. Have you used any of the Baylor Health Services? Were you satisfied with the services? Do you have any particular issues or concerns that you would want to focus on?
4. SHAC membership requires attendance at bi-weekly, one hour meetings. Can you commit to this amount of time to SHAC?
Yes No

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.


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