New Member Application APPLICANT INFORMATION Preferred Name * Preferred Name First First Last Last University Email Address * uNID * Department ID (Dept ID) Go to people.utah.edu, look up your name & click on your name to see your Dept ID. District AdministrationAcademic & Student AffairsHealth AcademicsHospitals & Clinics Are you a benefits eligible employee (0.5 FTE or greater)? * Yes No Have you successfully completed the probationary period of employment prior to the beginning of the proposed service term (July 1st of each year)? * Yes No Have you been employed at the U for at least one year? * Yes No Supervisor's Preferred Name * Supervisor's Preferred Name First First Last Last Supervisor's University Email Address * Supervisor's uNID * MEMBERSHIP APPLICATION Describe how you have positively influenced or changed staff wellbeing at the University of Utah? (350 word max) * Describe how your skills, knowledge, and experience will contribute to the mission of Staff Council. (350 word max) * Tell us how you would like to contribute to the University of Utah Staff Council community and what skills will you bring to this staff community? (350 word max) * STAFF COUNCIL SUB-COMMITTEES Please select which committee(s) you'd like to serve on. * The Communications Committee coordinates campus communication via email, social media, website, and other forums. The Development Committee raises money for staff awards through fundraising efforts, payroll deductions, and donations. The Events Committee coordinates events that enhance employee experience. The Legislative Committee engages university staff in the legislative process. The Selections Committee facilitates the selection & awarding process of staff awards & scholarships, as well as new member applications. The Access, Belonging, and Community Outreach Committee works to create an accesible campus and a sense of belonging and community for staff and all members of the U. The New Staff Connections Committee connects new staff members with the broader campus community. APPLICANT CERTIFICATION I understand the service commitment required for participation in the Staff Council as outlined within the University of Utah Policy 5-003: University of Utah Staff Council . * Yes I have spoken about this service commitment requirement with my immediate supervisor and they are supportive of this application. * Yes Submit Start Over If you are human, leave this field blank. Δ
