PCS Faculty Statement of Interest Form for 2019-2021

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 *

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PCS Faculty Statement of Interest Form for 2019-2021

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