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Office of Student Life
Takoma Park/Silver Spring Campus
7600 Takoma Avenue Takoma Park, MD 20912
Student Services (ST) Bldg., Rm. 217 (240) 567-1482

Office of Student Life

MONTGOMERY COLLEGE

TAKOMA PARK/SILVER SPRING CAMPUS

NOMINATION PETITION

           

I hereby offer myself as a candidate for the position of ____________________________.

I certify that I am registered as a student at Montgomery College- Takoma Park/Silver Spring Campus, that I have a minimum cumulative point average of 2.0, (first semester students excepted), that I am able to attend Student Senate meetings and that I am not on disciplinary or academic probation.

 

 

Print name                                             Signature                                                               Date

 

Address                                 City                         State Zip Code                      Phone no.                              SS#

 

 

1. 2. 3.
4. 5. 6.
7. 8. 9.
10. 11. 12.
13. 14. 15.
16. 17. 18.
19. 20. 21.
22. 23. 24.
25. 26. 27.
28. 29. 30.
31. 32. 33.
34. 35. 36.
37. 38. 39.
40. 41. 42.
43. 44. 45.
46. 47. 48.
49. 50. 51.
52. 53. 54.
55. 56. 57.
58. 59. 60.
61. 62. 63.
64. 65. 66.
67. 68. 69.
70. 71. 72.
73. 74. 75.
76. 77. 78.
79. 80. 81.
82. 83. 84.
85. 86. 87.
88. 89. 90.
91. 92. 93.
94. 95. 96.
97. 98. 99.
100.

Return completed form to the Director of Student Life for confirmation of eligibility.

 

 

DIRECTOR OF STUDENT LIFE                                                        Date