Council Representative Nomination Form

The information collected on this form is used only for the nomination of graduate students who wish to be a GSA Councillor representing graduate students in their department or program.

The information collected on this form will be destroyed 24 hours after the election result or appointment.

Information and privacy: questions regarding the collection of information on this form can be directed to the form administrator.

Please enter your first and last name
Please enter your 8-digit UW student ID number.
Briefly describe why you wish to serve on the GSA Council.
Please provide a brief bio of up to 100 words.
Department/Program * (required)
Please choose your department/program. Representatives may be elected or appointed, depending on the status of their department/program.