CPD Application Form - Center for Public Deliberation

Name*

First Last

Email*

Phone

Classification*

Major*

Expected Graduation Date (Spring/Fall Year)*

If you are fluent in any language besides English, please indicate which one(s):

Interest Areas*

Select your top 3 interests. Each semester we facilitate 5-10 events on different topics. Letting us know your top interests helps us to ensure that we get a diverse group of perspectives.

Statement of Interest*

Tell us why you want to join the CPD! What skills can you bring to the program? Include any experience you might have with community organizations (nonprofits, local government, ASCSU, etc). What excites you about the CPD and the work we do?

Faculty or Community References

Please provide the name and contact information for any Faculty or Community references you have

How did you hear about the program?*

Digital Screen
Poster
Website
Referral by instructor/advisor
Referral by another student
Brochure

Unofficial Transcript*

Max. file size: 25 MB.

Download your unofficial transcript from RamWeb and upload it here.

Email

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