Staff Council 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. Are you a benefits eligible employee (0.75 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 enhanced (or would like to enhance) staff wellbeing in your area/office/circle of influence. * Describe your experience with leadership & teamwork, and how you envision contributing to Staff Council. * Describe some topics and/or issues affecting the Staff community which you'd like to address. * 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 EDI Committee works to create an equitable, diverse, and fully inclusive campus by supporting EDI initiatives on campus. 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