Fillable Request for Senate Representation (College of the Siskiyous)

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Request for Senate Representation (College of the Siskiyous)

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Request for Senate Representation Form created 10.19.2019
Request for Senate Representation
Instructions: Please fill out as completely as possible and email this form to the appropriate Senate President(s) or
print and place in campus mail. Thank you.
Name of individual making the request:
Date of request: Representative(s) requested by date:
# requested
All Senates Academic Senate Classified Senate ASM Senate
Committee Chair:
Committee Charge/Duties of representatives:
Desired outcome from this committee:
Service length expected:
Short-term (less than a semester) Academic Year Other (specify)
Additional Information: (Special expertise requested, committee member signing powers, etc.)
Possible meeting time (if known):
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Request for Senate Representation (College of the Siskiyous)

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Completed 3 September 2020

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