NUSAC Membership Application 2018

Thank you for your interest in applying to join the NU Staff Advisory Council. Applications will be accepted through March 31, 2018. Please submit your answers below.

Upon submission, please hold the date of May 2, 2018 for an interview, if selected as a finalist. Interviews will be 15 minutes long and will be conducted on the Evanston Campus.

If you have any additional questions, please do not hesitate to contact us at nusac@northwestern.edu.

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* 1. Name:

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* 2. Department:

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* 3. Email:

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* 4. Job Title:

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* 5. Employee Classification:

Exempt

Non-Exempt

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* 6. Campus Address:

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* 7. Campus Phone: (area code + 7 digit number)

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* 8. Approximate Start Date at NU (MM/DD/YYYY):

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* 9. How did you hear about NUSAC?

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* 10. Why are you interested in serving on NUSAC?

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* 11. What leadership experience have you had (with an organization, team, department, etc.) either in a work or volunteer setting? Please describe this experience.

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* 12. If you had the opportunity to promote an initiative that could improve staff life at NU, what would this be, and how would you work towards implementing it?

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* 13. NUSAC has 4 standing committees. Please rank your preference for serving on these committees.

	Most Preferred	2nd Preference	3rd Preference	4th Preference
Benefits	Benefits Most Preferred	Benefits 2nd Preference	Benefits 3rd Preference	Benefits 4th Preference
HR	HR Most Preferred	HR 2nd Preference	HR 3rd Preference	HR 4th Preference
Communications	Communications Most Preferred	Communications 2nd Preference	Communications 3rd Preference	Communications 4th Preference
Outreach	Outreach Most Preferred	Outreach 2nd Preference	Outreach 3rd Preference	Outreach 4th Preference

Please list the skills you possess that would be of greatest benefit to the work of these committees.

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* 14. The time commitment for NUSAC is a minimum of 10 hours per month. More time may be needed to attend events and work on other special projects. Please comment on the specific aspect(s) of your regular job responsibilities that would present the greatest challenge to participating in NUSAC, and explain how you would work to manage these dual commitments.

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* 15. During the last performance year, were you rated at least a 3 or higher?

Yes

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* 16. Does your supervisor support your participation on the Council?

Yes

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* 17. Electronic Signature

Click this button to sign the application electronically. Doing so indicates that you have received your supervisor’s approval to submit this application, and to serve on NUSAC should you be selected. Falsification of this statement will disqualify you from serving on NUSAC. If you are selected for an interview, we will contact your supervisor to verify their approval.

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* 18. Supervisor Name:

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* 19. Supervisor Email:

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* 20. Supervisor Department:

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* 21. Supervisor Phone (area code + 7 digit number):

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* 22. Can we contact your supervisor?

Yes