Member Interest Form

All USAC members are requested to complete this form annually. Answers will inform the selection and assignment process for committee work.

Name:

Department:

What excites you about serving on USAC?

What do you do best? What are your skill sets?

How can you use these skills in your role as a USAC representative? As a member of the Council?

What do you hope to achieve in your time as a USAC representative?

We'll evaluate the interests and needs of members to ensure equal representation across committees and affinity groups.

First choice:

Second choice:

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