Stony Brook Residence Hall Association

Representing the rights, views, and concerns of residential students since 1983

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RHA Senator Proxy Form

Your (RHA Senator needing a proxy) Name *

RHA Senator's Stony Brook ID Number *

Name of your Proxy *

Proxy's Stony Brook ID Number *

Date of Meeting for which you are needing a proxy *

Building *

Reason for Absence (minimum 10 words) *

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RHA Senator Proxy Form

Your (RHA Senator needing a proxy) Name *

RHA Senator's Stony Brook ID Number *

Name of your Proxy *

Proxy's Stony Brook ID Number *

Date of Meeting for which you are needing a proxy *

Building *

Reason for Absence (minimum 10 words) *

If you are human, leave this field blank.

This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Sending

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