Within a week, you will receive a confirmation by e-mail that your application has been received. If you do not receive such a confirmation, please contact the University Secretariat at 533-6095.

Reminder from Human Resources: Because of the demanding nature of committee obligations, applicants should discuss with their supervisors how operating requirements of the department will be met should they be appointed

Biographical Information

Name:

Department:

Phone:

Fax:

e-mail:

Are you a Senator?

Yes No

Committee(s): (if more than one, list in order of preference)

3. Would you be willing to accept another position if your first choices are filled?
   

   YES
   NO

Questions

1. What interested you about this committee in particular, and what special background would you bring to it?
   

   
   

2. Is there any additional information you would like to have about the functioning of the committee?
   

   
   

3. The Senate is concerned to diversify the composition of its committees. Is there any dimension of your background you would like the Nominating Committee to consider in this regard? Applicants are also invited to add any other additional information they may consider relevant.
   

   
   

4. Applicants are invited to give the names of two persons at Queen's who would be willing to support this application by providing a reference if necessary.