Student Information


Parent/Guardian Information

School & Principal

Athletic Director

Essay Questions

Please answer the following questions using 200 words or less.
Describe some experiences that have prepared you to be an effective leader on the NYSPHSAA Student Athlete Advisory Committee.
What qualities do you have to offer the committee?

Why do you want to be a member of the NYSPHSAA SAAC?

Please list any School Activities (include scholastic, extracurricular & civic activities and the grade in which you participated).


Please list names and contact information for TWO references.
1st Reference

2nd Reference

Your Digital Signature

I am willing to give sufficient time from my personal activities to devote time and energy to the duties of NYSPHSAA SAAC. I pledge to follow all rules of NYSPHSAA and of my school. By signing below, I am committing to attend ALL teleconference dates and the SAAC Summit (listed on the previous page). I also acknowledge the consequences of potential offenses listed on the page 1 of the application.