PCS Faculty Statement of Interest Form for 2022-2024

CONTACT INFORMATION

NAME *

DEPARTMENT *

STATUS *

Number of Years at Cal Poly *

COMMITTEE INFORMATION

Which Academic Senate Committee do you wish to serve on? *

Incumbent *

Yes

Would you be willing to chair the committee if release time was available? *

Yes

STATEMENT OF INTEREST

Please provide a BRIEF statement of interest including accomplishments, expectations, projects, goals, etc., as they relate to the committee's charge *

Leave this field blank

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

What code is in the image? *

Enter the characters shown in the image.

Academic Senate

Academic Senate Menu

PCS Faculty Statement of Interest Form for 2022-2024

Related Content