[ ]Civil Service Open Range [ ]Non-Represented Professional Staff
[ ]Represented Professional Staff [ ]Negotiated and Prevailing [ ]East St. Louis [ ]Alton
For election to membership on the University Staff Senate at SIUE. On this day, ______________, I ________________________________, do hereby announce my candidacy for election to the University Staff Senate for a three year term beginning September 1, 2013.
Signature of Candidate