GPA VERIFICATION
PLEASE RETURN THIS FORM WITH
YOUR PETITION FORM
DUE: SEPTEMBER 18th AT 5:00PM
IN THE OSA (BC 107)
(Please Print)
Last Name
First Name
Middle Initial ID Number
My signature below indicates my authorization to the Office of Student
Activities to verify that I meet the minimum cumulative GPA requirement of
2.0 and am a full-time student in order to be eligible to campaign in the SGA
2015 Fall Elections. I also authorize the Office of Student Activities to share
this information with the Dean of Students Office.
Signature: ______________________________