CP Corporation BOD Expression of Intent and Willingness to Serve

CONTACT INFORMATION

NAME *

PHONE *

DEPARTMENT *

COLLEGE *

Statement 1

Statement indicating consistent history of active involvement with an interest in University Affairs *

Statement 2

Statement of demonstrated ability to work productively as a member of a governing body *

Statement 3

Statement indicating why membership on the Board is of interest *

AGREEMENT

I AM WILLING TO ACTIVELY SERVE AS A CAL POLY CORPORATION BOARD MEMBER FOR THE TERM OF MY OFFICE (three years): *

I UNDERSTAND THE REQUIREMENTS, OBLIGATIONS, AND RESPONSIBILITIES OF DIRECTORS *

Leave this field blank

Academic Senate