ACADEMIC SENATE ELECTION
Call for Nominations
Diversity, Equity, Inclusion (DEI) Committee

NOMINATION FORM

TERM: two-year term (F2023-SP2025) unless otherwise indicated

Nomination deadline: open until filled

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* 1. Nominee's Name (first/last)
(only self-nominations are accepted)

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* 2. Nominee's discipline

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* 3. GWC Email

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* 4. Status

Full-time faculty

Part-time faculty (Fall 2023 GWC teaching assignment)

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* 5. Select the area you wish to represent:

One faculty member from either Art, Athletics, CTE, Criminal Justice or Nursing

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* 6. Statement of Interest
Please write a BRIEF (2-3 sentences) statement explaining your reason for wanting to serve. May include accomplishments, expectations, goals, etc. as they relate to the committee's mission and charge. Statements of Interest are reviewed as part of the election process.