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Office of Student Conduct Interest Form
This form is for Rutgers-New Brunswick ONLY. If you are interested in opportunities on the Newark campus, contact the Office of Community Standards & Student Development at 973-353-5063. If you are interested in opportunities on the Camden campus, contact the Office of Community Standards at 856-225-6050.
Name
*
First
Last
Email
*
Role
*
Faculty
Staff
Student
(check all that apply)
Campus Phone
###
-
###
-
####
Cell
*
###
-
###
-
####
Department
*
Campus Address
*
I am interested in becoming a:
*
Please select
Hearing Board Member
Campus Advisor
Presiding Officer
How did you hear about this opportunity?
*
University-wide email
Student Affairs newsletter
Student Conduct staff
Colleague
Other (please describe)
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