COMMITTEE ON FACULTY GOVERNANCE

Appendix B3

WILLINGNESS-TO-SERVE and NOMINATION FORM

PRESIDENTIAL SEARCH COMMITTEE

Any faculty Member may make nominations of eligible faculty. In addition, any eligible faculty member may be self-nominated by indicating a willingness to serve. Placing your name in nomination does not preclude nominating others. Please note that any faculty member may nominate others.

All nominees will be contacted before committee selections are made. Check each appropriate box.

1. I wish to place my name in nomination for the Presidential Starch Committee.

2. 1 wish to nominate the following person(s) to serve on the presidential Search Committee:

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Name of person completing this form (Please print):

Signature:

RETURN TO JOHN THOMAS, DEPARTMENT OF GEOLOGY, 267A DANA, BY SEPTEMBER 16, 1985

Hand delivery is recommended.

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