University Staff Senate

STATEMENT OF CANDIDACY - University Staff Senate

Panel Member

[  ]Civil Service Open Range  [  ]Professional Staff   [  ]Represented
[  ]Non-Represented  [  ]Negotiated and Prevailing

For election as a Panel Member of the University Staff Senate at SIUE.  On this day, ______________, I  ________________________________, do hereby announce my candidacy for election as Panel Member of the University Staff Senate for a two-year term beginning September 1, 2012.

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Signature of Candidate 

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Classification

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Department

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Phone