Refund Request Form

Name:

Dorm Room or Address:

Phone:

Email:

Year at Truman

Can you think of Something Student Senate has done for you?

Do you know someone who is a member of Student Senate?

In your estimation, is Student Senate an effective organization?

Did you vote in the last Student Senate election?

Have you ever voted in a Student Senate election?

How often do you hear about Student Senate?

Has a Student Senator ever spoken at a meeting you attended?

Do you feel that Student Senate is adequately focused on issues?

Have you ever attended a Student Senate meeting?

Are you aware of when and where the Student Senate meets?

Do you know of Student Senate's goals for this year?

What should Student Senate's main goals be?

What issues would you like to see Student Senate address in the future?

How could Student Senate improve its productivity and effectiveness?

What is your primary reason for requesting a refund of your student governance fee?

Your name and response will remain confidential within Student Senate. Please be aware that by requesting your Governance Fee back you thereby resign any and all positions appointed to you by the Student Government: