Student Senate Interest Form

Please complete the contact information portion of this form first, then indicate which Student Senate roles interest you the most. Our advisor will contact you shortly with more information and to invite you to a Student Senate meeting.

Please enter your first and last name.
Please enter your home phone number in the following format: (608) 246-6576
Please enter your cell phone number in the following format: (608) 246-6576
Enter your street address (Example: 3550 Anderson St.)
Enter your 5-digit zip code
Please list the campus where you attend most of your classes
What program are you attending at Madison College?
How many credits are you enrolled in this semester?
Please indicate if you are interested in a Senate officer position or a role as a Senate member.
Please indicate which Senate committees you are interested in.
Please indicate which college committees interest you the most.