Class Agent Interest Form
Augie GOLD

Thanks for your interest in serving as a class agent!

You may apply as an individual, pair or group. If you're applying as a pair or group, please share your partner(s)'s name(s) below and answer questions for yourself. Each person in your group should fill out an interest form.



Your Information





Your Contact Info









Applying as a Group


Please have each person fill out the form individually.

About You