Name First Required Last Required Suffix Email Required Confidentiality Would you like us to keep your name confidential if we raise this issue to anyone outside the organization? Yes No Contact Issue Required - Select -Raise an IssueAsk a QuestionRequest a Senator AppearanceInterest in becoming an Affiliate Is there are committee you would like this directed to? - Select -NoneExecutive CommitteeBylaws CommitteeDiversity. Equity. & Inclusion CommitteeElections Committeeunications CommitteeLegislations CommitteeLiaison CommitteePersonnel Affairs CommitteeRecognition CommitteeNo/Unknown Issue being raised? Outcome being sought, if any? What is your question? How would you like to be contacted with a response? Name of organization you represent Would you like the senator to Speak Listen Both, Speak and Listen Date of the proposed meeting What is the proposed topic for the meeting? Becoming an Affiliate Affiliate members are those individuals recruited on an as-needed basis for Staff Senate endeavors requiring expertise outside of the current Senate membership. Such expertise may include, but is not limited to, a special skill set, a unique perspective as it relates to a job family or employment status, or knowledge about an issue under consideration by the Senate. Affiliate members do not have voting privileges and are ineligible to hold elected or committee chair positions. Affiliate members are chosen as needed by the appropriate committee chair and approved by the Executive Committee. Length of affiliation is determined by the Executive Committee. Why are you interested in serving as an affiliate member? How do you see yourself contributing to the Staff Senate? Is there a committee you are interested in joining? Executive Committee Bylaws Committee Diversity, Equity, & Inclusion Committee Communications Committee Elections Committee Legislation Committee Liaison Committee Personnel Affairs Committee Recognition Committee No/Unknown Other… Enter other… Leave this field blank