Classified Staff Advisory Council (CSAC)
2011 Nomination Form
Nominee Name:
Position Title:
Department:
Office Address:
E-mail:
# of years working with Cooperative Extension:
Please tell us (200 words or less) your reasons for wanting to serve on the CSAC,
or why you believe the individual you are nominating should be elected.
______________________________________________________________________
For information on expectations relating to this appointment or the election process,
please refer to the By-Laws of the UW-Extension Cooperative Extension Classified Staff
Organization, located on the D2L site at: www.uwex.edu/D2L; under content; Core
Group/Steering/Leadership; By-Laws Draft
To nominate yourself or someone else, please fill out, sign and return this form to
Stormy Cooley at stormy.cooley@ces.uwex.edu or fax to (608) 265-4545 by November
21, 2011. If you are nominating someone else, both signatures are required.
Elections will take place between December 1 and December 15, 2011. All nominees
will be notified within two weeks of the election close date.
Council appointments will begin on January 1, 2012.
Signature of nominee:___________________________________________________
Signature of nominator:
(for non-self-nomination)