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Department Representative Call Out
Use this form to indicate if you would like to be a Department Representative.
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Email
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Your email
First Name
*
Your answer
Last Name
*
Your answer
Department
*
Your answer
Interest
I am interested! Sign me up to be the next Department Rep for my Department
I'd like to sit in on the next meeting.
I'm not interested in serving at this time.
Clear selection
I'd like to attend the following date/time via a Zoom meeting
October 4th, Noon - 2:00 PM
October 5th, Noon - 2:00 PM
Questions or concerns that you think we ought to know about
Your answer
Send me a copy of my responses.
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