NOMINATION FORM

Nomination deadline:  5pm on Friday, April 14, 2023

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* 1. Nominee's Name
(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

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* 5. Select the position you wish to represent:

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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.

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* 7. I understand that my nomination requires attendance of the Academic Senate Vice President Q&A Session on Tuesday, April 26, 2022 to be held during the Academic Senate's regularly scheduled meeting.

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