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The Staff Senate
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STATEMENT OF QUALIFICATIONS - University Staff Senate

We are pleased that you are a candidate for membership to the University Staff Senate. To prepare your constituents for voting, please complete the blanks below and return it to the University Governance Office, Rendleman Hall, Room 0103, no later than 4:30 p.m. on the last day to file petitions. Due to space limitations, please be as brief as possible in the space provided. If necessary, your statement will be edited with your approval.

Name: _____________________________________________

Length of Service at SIUE: ________________________

Classifications Held: _______________________________________________________________________

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Education: _______________________________________

Other Qualifications (Personal Statement, etc.):

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Signature

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Date