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* 1. Name (Optional):

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* 2. Your role at University of Washington (please check all that apply):

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* 3. Based on your experience at UW, what do you see as the short-term (immediate) and long-term (three to five years) challenges and opportunities facing the new Provost and Executive Vice President for Academic Affairs?

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* 4. Given the challenges and opportunities you have described, what professional experiences and qualifications must the successful candidate possess? What personal qualities must the new Provost and Executive Vice President for Academic Affairs have in order to be a strong cultural “fit” with the UW community?

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* 5. What are the key positive attributes and most attractive features of UW and the surrounding community and how might those be used to attract the best candidates?

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* 6. Additional comments

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* 7. If you wish to nominate potential candidates for the Provost and Executive Vice President for Academic Affairs position, please provide their name(s) and contact information (if available) in the space below:

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