Staff Engagement & Development Committee Interest & Nomination Form Are you filling this out for yourself or nominating someone else? * RequiredFilling this out for myselfNominating someone elseIf you're nominating someone else, what is your name and department? * RequiredThe following questions are about the nominee/person interested in joining the committee. Your Name/ Nominee's Name * Required First Last Department * RequiredJob Title * RequiredAre you exempt or non-exempt staff? * RequiredExemptNon-exemptNot sureOther Other Supervisor Name * RequiredYou are welcome to discuss this opportunity with your supervisor beforehand, but please note that all supervisors will be contacted before their employee can join the committee. First Last Are you currently serving on any Student Life committees? * Required Professional Development Student Life Recognition Social Engagement & Service Diversity Not serving on any committees Which of the sub-committees would you be most interested in working on? * Required Professional Development Student Life Recognition Social Engagement & Service If you have interest in multiple committees, please indicate your first choice:We have a vacant chair position on the Professional Development Committee. Please indicate if you have interest in the chair position. * RequiredYes, I am interested!No, I am not interested.