Fillable LPC GOVERNANCE WORKSHEET

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LPC GOVERNANCE WORKSHEET

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The LPC GOVERNANCE WORKSHEET form is 4 pages long and contains:

  • 1 signature
  • 28 check-boxes
  • 114 other fields

Country of origin: US
File type: PDF

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LPC GOVERNANCE WORKSHEET
Committee Name: Academic Year:
Form completed by: Position:
Instructions
The purpose of this worksheet is to allow each committee, Senate, Union, Task Force or
User Group to review its charge and membership yearly. It is important to review the
current charge and responsibilities in the LPC Governance Handbook. If the structure is
satisfactory, please mark accordingly on this document and send to the President’s
Office. If changes are needed, please make changes on this document, receive approval
from any constituency groups involved, and send to the President’s Office. Once changes
are received, the document will be brought to College Council to request approval.
Are the group’s charge and membership satisfactory?
____ YES, there are no changes to the committee structure or charge.
____ NO, there are changes to the committee structure or charge shown below.
Remember to have all committee members sign the document before submitting.
Proposed Changes
1. Charge:
____ Charge remains the same.
____ Recommended changes to charge are indicated below.
2. Reporting Relationship:
Committee currently reports to ______________________.
____ It is recommended the reporting relationship remain the same.
____ It is recommended to change the reporting relationship.
The committee will report to:
____ Academic Senate
____ College Council
____ Faculty Association
____ President
____ Vice President of _______________________
____ Other _______________________
LPC GOVERNANCE WORKSHEET
Committee Name: Academic Year:
Form completed by: Position:
3. Chairmanship:
The chair is currently selected by:
____ Committee vote
____ Office or Position indicated here: ______________________________
____ Other: ______________________________
It is recommended that the chair:
____ Selection remains the same
____ Selection method changes to: ______________________________
4. Membership:
____ Membership remains the same
____ It is recommended to change membership to:
Voting Members: (e.g., V.P. of Student Services, 4 Classified, 1 faculty from each Division, etc.)
1. _____________________________________
2. _____________________________________
3. _____________________________________
4. _____________________________________
5. _____________________________________
6. _____________________________________
7. _____________________________________
8. _____________________________________
9. _____________________________________
10. _____________________________________
Total Voting Members: ___________
Quorum (50% +1): ___________
LPC GOVERNANCE WORKSHEET
Committee Name: Academic Year:
Form completed by: Position:
Non-Voting Members: (e.g., President, 2 students, 1 faculty from each Division, etc.)
1. _____________________________________
2. _____________________________________
3. _____________________________________
4. _____________________________________
5. _____________________________________
6. _____________________________________
5. Members appointed by: (check all that apply)
____ Academic Senate ____ Faculty Association
____ Classified Senate ____ SEIU
____ Administration ____ Student Senate
6. Term: (check one)
____ 1 year ____ 2 years ____ Other
LPC GOVERNANCE WORKSHEET
Committee Name: Academic Year:
Form completed by: Position:
Committee Approval
Printed Name Signature Date
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LPC GOVERNANCE WORKSHEET

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Completed 17 December 2019

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