ACADEMIC SENATE ELECTION
Call for Nominations - College Technology Committee

NOMINATION FORM

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

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:

Faculty rep from the Distance Education Advisory Committee

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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.