COMMITTEE SIGN UP / INTEREST FORM

Thank you for your interest in joining a CEANY committee. 
Please complete the below and someone will reach out to you shortly!
1.Full name
2.Email Address
3.CEANY Member School Name
4.Department
5.Title/Position
6.Committee(s) I'm interested joining or learning more about:
(Select all that apply)
7.Would you be interested in finding out more about joining our Executive Board?