Commission for Women

Name:
Position/Title:
Address:

Phone: - extension
E-mail:

#1 committee preference:

#2 committee preference:

My special skills, talents, expertise, areas of interest (regarding this
committee assignment) are:

If self nominating, please indicate how you heard about the Commission for Women.

Following submission of this application, you will be contacted
by the appropriate committee chair.

Statements of nondiscrimination and alternative media.(U.Ed. OVP 06-02(e)
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Web page last modified on June 19, 2008 Office of the Vice Provost for Educational Equity