Fillable Ssa-application-fall-2018 California State University, Chico

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Ssa-application-fall-2018 California State University, Chico

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Fall 2016 – revised 6.1.16
STAFF ACADEMIC AWARD Staff Council
Sierra Hall Annex
530-898-5905
Purpose:
To assist a CSU, Chico staff employee in furthering his or her educational goals
Award: An academic award of $500 will be given each spring and fall to a staff employee. The
award will be presented during a Staff Council meeting at the beginning of each semester
for which it is granted. The award is sponsored by Chico State Administration.
Eligibility: An applicant MUST be:
1) Currently employed on a half-time or greater basis as a staff* member of CSU,
Chico, Associated Students, University Foundation, or the Research Foundation.
2) Attending or planning to attend an accredited institution of higher education and
enrolled in classes for the semester in which he or she is applying.
The following are NOT ELIGIBLE for the academic staff award:
1) A student employee
2) A MPP or Faculty Member
3) A current member of the Staff Council Executive Committee
4) A current member of the Staff Council Recognition Screening Committee
5) A recipient within the past 24 months
Application Submission: October 1, 2018 through October 31, 2018
Application Deadline: 12:00 pm on October 31, 2018; submit forms Staff Council, Sierra Hall Annex (zip 160)
or c/o Erin Tarabini, Human Resources Services Center, Kendall Hall 220 (zip 0010).
Application Procedure: Application forms may be download at the Staff Council website:
http://www.csuchico.edu/stac/forms/index.shtml.
It is the applicant's responsibility to:
Follow instructions precisely and submit the completed application packet to the Staff Council Office by
noon on the application deadline date stated above
1. A cover letter stating your past, present and future academic and career goals and
objectives, and the purpose for the requested funds. Two pages or less.
2. Unofficial transcripts
3. Two letters of recommendation
4. Current resume
*"Definition of “Staff” employee is defined by Title 5, 42700, page 540 (o). “Nonacademic employees" means an employee who provides non-
instructional and non-administrative supporting services such as secretarial, clerical, and maintenance services. A nonacademic employee may have
lead responsibility, but normally does not have responsibility for major decisions. Higher academic degrees are not an essential qualification for service
as a nonacademic employee.
Fall 2016 – revised 6.1.16
CALIFORNIA STATE UNIVERSITY, CHICO
STAFF COUNCIL STAFF ACADEMIC AWARD
Name Date:
Current employment information at CSU, Chico:
Dept./Division:
Position Title:
Work Phone:
Hours per Week:
Hire Date:
Current Status:
Graduate Senior
Junior Sophomore Freshman Professional Growth
Are you working toward a degree? No_ Yes_ If yes, state major
Are you currently enrolled in an accredited higher education institution? No Yes
If yes, which institution(s)?
What semesters are you enrolled? 20 /_ Fall or Spring
List courses needed to complete major objective or attach a Major Clearance Form/Career
Development Plan
Are you working on job-related courses? No
you plan on taking.
Yes If yes, list the job-related courses
Please attach the following:
1. A cover letter stating your past, present and future academic and career goals and
objectives, and the purpose for the requested funds. Two pages or less.
2. Unofficial transcripts
3. Two letters of recommendation
4. Current resume
I hereby certify all statements on this application are true and complete to the best of my knowledge.
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Completed 14 February 2020

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