Committee Service Interest Form

Please fill out this form and submit to indicate your interest in serving on a University committee. Thank you for your time!

LIST OF UNIVERSITY COMMITTEES

Your Contact Information:

Name: *
Job Title: *
Department: *
UNC Campus Box:
Email Address:
Phone Number: *

* 1. How many years have you been employed at UNC?

* 2. What is your current employment classification at UNC-CH?

* 3. What University committee(s) are you interested in serving on?

* 4. Would you be interested in serving on an Employee Forum Committee?
Yes
No
     If so, which one(s):

* 5. Why do you want to serve on the committee(s) you indicated above?

 

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2947
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* REQUIRED FIELDS

By submitting this form, I understand that I must clear University committee service with my supervisor, and that I may not necessarily be selected to serve on the committee(s) I have selected.