ࡱ> }| v^bjbj 4~ 22666JJJ8|J&gB <" 3%5%5%5%5%5%5%,'*a%i6$gg$$a%$66%$$$$^663%$$3%$$$pc$|$%%0&$j+$j+$$6$@$$$a%a%$$$$&j+$$$$$$$$$2 :   Committee Interest Form for Faculty The Academic Senate Executive Council and its officers (especially the First Vice President) thank you for volunteering to represent the City College faculty. Please complete this form and return it to the Academic Senate Office, E202, Ocean Avenue Campus. Name: FORMTEXT      Phone FORMTEXT      Date FORMTEXT      Primary Campus FORMTEXT      Mailbox FORMTEXT      Email FORMTEXT      Please list the committees that interest you. FORMTEXT      Please list any experience or expertise that makes you especially qualified to serve on these committees. Continue on back if necessary. FORMTEXT        FORMTEXT      What is the largest number of committees on which you are willing to serve concurrent terms? FORMTEXT      The Senate is charged with ensuring that faculty representation on CCSF committees is balanced and diversified. To that end, we may more easily make appointments if you choose to share the following information with us. What is your primary mode? Noncredit  FORMCHECKBOX  Credit  FORMCHECKBOX  Who is your department chair or primary supervisor? FORMTEXT       Please check your Department. (You may indicate a split load with percentages if you choose.)  FORMCHECKBOX  Administration of Justice FORMCHECKBOX  Culinary Arts/Hosp. FORMCHECKBOX  Library Info. Techn. FORMCHECKBOX  Aeronautics FORMCHECKBOX  DSPS FORMCHECKBOX  Library Services FORMCHECKBOX  African American Studies FORMCHECKBOX  Earth Sciences FORMCHECKBOX  Mathematics FORMCHECKBOX  Architecture FORMCHECKBOX  Engineering and Techn. FORMCHECKBOX  Music FORMCHECKBOX  Art FORMCHECKBOX  English FORMCHECKBOX  Nursing FORMCHECKBOX  Asian American Studies FORMCHECKBOX  ESL FORMCHECKBOX  Older Adults FORMCHECKBOX  Asian Studies FORMCHECKBOX  Environmental Hort. FORMCHECKBOX  Philippine Studies FORMCHECKBOX  Astronomy FORMCHECKBOX  EOPS FORMCHECKBOX  Photography FORMCHECKBOX  Automotive/Trade Skills FORMCHECKBOX  Fashion FORMCHECKBOX  Physical Ed. & Dance FORMCHECKBOX  Behavioral Sciences FORMCHECKBOX  Film FORMCHECKBOX  Physics FORMCHECKBOX  Biological Sciences FORMCHECKBOX  Foreign Languages FORMCHECKBOX  Radio./Imaging Techn. FORMCHECKBOX  Broadcast Elec. 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FORMCHECKBOX  Career Development PC FORMCHECKBOX  Health Sciences FORMCHECKBOX  Theatre Arts FORMCHECKBOX  Chemistry FORMCHECKBOX  Interdisciplinary Studies FORMCHECKBOX  Transitional Studies FORMCHECKBOX  Child Development FS FORMCHECKBOX  Journalism FORMCHECKBOX  Vocational Nursing FORMCHECKBOX  Computer Sci./Techn. FORMCHECKBOX  Labor Studies/Apprentice. FORMCHECKBOX  Women s Studies FORMCHECKBOX  Consumer Education FORMCHECKBOX  Latin American Studies FORMCHECKBOX  Special Assignment FORMCHECKBOX  Counseling Services FORMCHECKBOX  Learning Assistance FORMCHECKBOX  Dental Assisting FORMCHECKBOX  LGBT Studies The Senate Office will issue a memo acknowledging receipt of this form. A nominee becomes an official committee member when the Academic Senate Executive Council makes the appointment.  Department Chairs: please write  self .  Computer Sci./Techn. includes CNIT and CS.  If you have to ask, you are not on special assignment.  Counseling Services includes all new, continuing, transfer, and international student counselors.     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