Name (First and Last) *

Address (Street, City, State, Zip Code) * Current address where you can be reached at school, not home address. *

Email Address *

Phone Number *

University/College

Current Year in School *

Major(s) *

Minor(s)

Current GPA *

Expected graduation date *

How did you find out about the Campus Representative Program? Did someone recommend you? *

What student groups or clubs are you currently involved in on your campus and/or in your community? Please share any successful outreach events you've been involved in through these organizations. *

What type of events would best capture the attention of your campus community that promote free market ideals? *

What makes your college campus unique? How would you best reach your fellow students? *

What does liberty mean to you? *

Please upload your current resume. *File types accepted: pdf, doc, docx. *

Click or drag a file to this area to upload.

Please upload a recent headshot. *File types accepted: jpg, gif, png, pdf. *

Click or drag a file to this area to upload.

(Optional) Please upload your cover letter specific to this role.File types accepted: pdf, doc, docx.

Click or drag a file to this area to upload.

Campus Representative Application

2022 Tech and Innovation Summit