NACCU Committee Volunteer Interest Form
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Exit Survey
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Name
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What is your role at your institution?
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What campus services or programs are included in your area of responsibility?
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Institution
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Email address
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Phone
Are you employed by a four-year or two-year institution?
Four-Year College or University
Two-Year College (Community College)
Is your institution public or private?
Public
Private
In what region is your institution located?
Central
East
South
West
Canada
Outside North America
What is the size of your institution?
More than 10,000 students enrolled
At least 3,000 students but fewer than 10,000 students enrolled
At least 1,000 students but fewer than 3,000 students enrolled
Fewer than 1,000 students enrolled
Which NACCU committee are you interested in serving on? (Choose up to three)
NACCU Ambassadors
Engagement
Professional Development
Technology Research
Volunteer Development
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Please describe the professional strengths you would bring to the role on your preferred committee(s)?
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What skills and/or experience do you expect to develop with a NACCU committee assignment?
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Please describe your availability to conference call or connect monthly with your NACCU committee:
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Please describe your availability to work collaboratively with other committee members to complete small projects/tasks in advance of committee conference calls:
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