Application for Student Director


	Application for Student Director: Submit by February 1

		Print, complete and mail application to address listed on the lower portion of this form.

Full Name
Street Address
City
State
Zip
Email
AC & Phone
Program Name
Program State
Program Zip Code
Expected Graduation Date:
Have you reviewed the Aims & Duties with the position? Yes____ No____
Are you able to assume the financial cost of attending board meetings? Yes_____ No_____


	Eligibility Requirements Applicants must be enrolled in an approved program with a minimum of 12 months remaining before completion of the program. The applicant must be able to carry out the duties of the position for one full year. Please write/type a paragraph of 200 words or less in the box below, describing your qualifications and interest for this position.

Qualifications and Interests:



		Print, complete and mail application by February 1: OSRT Executive Secretary Dave Whipple, R.T.(R) 1985 Preston Avenue Akron, Ohio 44305 Toll Free: (866) 405-OSRT (6778) Local: (330) 784-9042 osrt@neo.rr.com