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SACAC Leads Faculty Application
Please complete this form to indicate your interest in serving as a SACAC Leads faculty member.
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Email
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Your email
First Name
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Your answer
Last Name
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Your answer
Title/Role at your Institution/Organization
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Your answer
Institution/Organization Name
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Your answer
Institution/Organization City and State
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Your answer
What type of institution/organization is this?
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Community based organization
Company/Corporation
Independent educational consultant
Private 2-year college
Private 4-year college/university
Private secondary school
Public 2-year college
Public 4-year college/university
Public secondary school
Retiree
School district office personnel
Work Phone
Your answer
Mobile Phone
Your answer
Race/Ethnicity
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Your answer
Gender identity:
Male
Female
Prefer not to say
Other:
Clear selection
Number of Years in the Field
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Your answer
Why are you interested in serving on the SACAC Leads faculty?
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Your answer
If you could share one piece of advice with your colleagues, what would it be?
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Your answer
Explain how your background, training, experience, and/or personal qualities support your application.
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Your answer
How long have you been a SACAC member?
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Your answer
Have you previously served within SACAC? If so, please share any leadership, volunteer and/or presenter roles as well as approximate years.
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Your answer
Is there any additional information you'd like to share?
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Your answer
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