Request For Committee Appointment Form
Request For Committee Appointment Form
Request For Committee Appointment Form
APPOINTMENT
Dear President Lewis:
__________________________________________________________
UNION INVOLVEMENT
DELEGATE /ALTERNATE DELEGATE
YES NO
WHY DO YOU WANT TO JOIN THIS ______________________________________________________________________________________________
NECESSARY. __________________________________________________________
_____________________________________________________________ ___________________________________
APPLICANT’S SIGNATURE DATE
_____________________________________________________________ ___________________________________
CHAIRPERSON’S APPROVAL DATE
_____________________________________________________________ __________________________________
LIAISON’S SIGNATURE DATE
_____________________________________________________________ ___________________________________
PRESIDENT’S APPROVAL DATE
ADDRESS and MAIL COMPLETED FORM TO: OFFICE USE ONLY
STANDING COMMITTEES
c/o Karen GJ Lewis, NBCT, President Date Application Processed
Chicago Teachers Union _____________________20___
222 Merchandise Mart Plaza, Suite 400
Chicago, Illinois 60654-1016 Date of Applicant
Notification:___________________20___
Initials ________________
ALM/STANDING COMMITTEES 10-11