Classified Staff Advisory Council

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CS Leadership Series Application

To apply, you must currently be employed at UW Oshkosh as a permanent classified staff employee (including non-represented), and have completed at least one continuous year of employment. Complete this application, and submit by May 18, 2012 to Sarah Currie, Campus Center for Equity and Diversity. You may use the back of the application or attach additional pages if necessary.

Questions about the Classified Staff Leadership Series and this application may be directed to anyone on the planning committee, listed below.

Amanda Bain, baina@uwosh.edu	Sarah Currie, curries@uwosh.edu
Tim Klinger, klingert@uwosh.edu	Micki Benz, benzm@uwosh.edu
George Paul, paul@uwosh.edu	Jennifer Nason, nasonj49@uwosh.edu
Deanna Singstock, singstoc@uwosh.edu

First Name (Required)

Last Name (Required)

Your E-Mail Address (Required)

Department or Unit (Required)

Telephone

UW Oshkosh Employment Began (month/year) (Required)

What are your objectives in applying to participate in this program? (Required)

What do you hope to learn? (Required)

How will your completion of this program benefit your department and/or the University? (Required)

Describe your level of commitment to this program. (Required)

I, as the applicant, am fully committed to participate in this program. (Required)

Type your full name. This will be used as your electronic signature.

I, as the applicant's supervisor, fully support the participation in the program. (Required)

Type your full name. This will be used as your electronic signature.

Time/Date Field (Required)

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by Karls, Peggy L. — last modified May 16, 2012 02:11 PM — expired

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