Committee Application Form

Use this form to apply to be a staff representative on a University of Waterloo committee or a University of Waterloo Staff Association committee.

To submit your application, click "Submit my application" at the bottom of the form.

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

Tell us about you

First name * (required)

Last name * (required)

Current position title * (required)

Years of service at the University of Waterloo * (required)

Department / School / Institute / Group / Centre * (required)

Building * (required)

Indicate your building's 2- or 3-character code (e.g., E7, TC, RAC, etc.).

Extension * (required) Ext.

Email * (required)

Web link

Provide a link to your LinkedIn profile or a personal web page.

Committee information

Committee name * (required)

Please select the committee from the list below. If you don't see the committee name, choose "other" and enter it in the field.

Committee name Other...

Executive committee * (required)

Indicate the name of the executive search or nominating committee. E.g., Dean of Arts, VP Research.

Location * (required)

Select your campus location.

Important: Please read before proceeding.

The information that you provide is a key factor in the final selection of the staff representative. The selection committee will gain a better understanding of your qualifications and suitability for the committee work if the information provided is robust. To help you:
- Read and understand the Terms of Reference for the committee.
- Answer all questions thoroughly; provide relevant examples of your skills and experience.
- Tailor your answers to the position you are seeking.
- Always check spelling and grammar.
If you are selected for the position, your application will be kept in the UWSA Office for the duration of your term on the committee.

Why would you like to serve on the committee? * (required)

What are your relevant abilities to this committee? * (required)

Area Rep Committee

Approximate number of staff in your area * (required)

To the best of your knowledge, select one of the following ranges.

If you are in a small area, what other areas could most practically be combined with your area?

Experience

Waterloo committee experience * (required)

Which committee(s) have you served on while working at Waterloo? Please describe your past committee involvement (committee name, role on committee, years of service, etc,).

Non-Waterloo experience

Any other information or experience you would like the Nominating Committee to consider?

How did you hear about the committee? * (required)

Please tell us how you heard about the committee. This information will help us determine which communication channels work best.

Good news! The UWSA Area Rep committee is an informal committee and your application will be approved, pending confirmation of your UWSA membership status.

By submitting this form, I acknowledge I have read and agree to the following:

As a UWSA Area Representative, I will:

Commit to a term of at least one year.
Familiarize myself with UWSA documentation.
Introduce myself to staff in my area as their Area Representative.
Attend Area Rep Committee meetings.
Communicate to my area important information relevant to all Waterloo staff and those specific to UWSA members.

Note that your role as an Area Rep will be posted on the Area Rep section of the UWSA website.

Good news! The UWSA Fundraising and Social committee is an informal committee and your application will be approved, pending confirmation of your UWSA membership status.

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