UTA Women Faculty & Staff Network Nomination Form

If you are interested in nominating yourself or someone else for an executive position with the UTA Women Faculty & Staff Network, please complete this form.

Name Name First Last
Title
Email
Department/Division/Unit
Employment Status

Employment Status Full Time Part Time
How long have you been a faculty/staff member at UTA?
Which position are you interested in?

Which position are you interested in? Faculty Co-Chair Staff Co-Chair Secretary Treasurer/Parliamentarian
Classification
Nomination Statement