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Request For Committee Appointment Form

The document is a request form for a teacher to apply to join the CTU committee. It includes fields for the applicant's contact information, union involvement experience, and a short explanation for why they want to join the committee. The applicant signs the form, which then requires approval signatures from the committee chairperson, union liaison, and president.

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tristero312
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© Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online on Scribd
415 views

Request For Committee Appointment Form

The document is a request form for a teacher to apply to join the CTU committee. It includes fields for the applicant's contact information, union involvement experience, and a short explanation for why they want to join the committee. The applicant signs the form, which then requires approval signatures from the committee chairperson, union liaison, and president.

Uploaded by

tristero312
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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REQUEST FOR COMMITTEE

APPOINTMENT
Dear President Lewis:

I would like to be appointed to the CTU ___________________________Committee. I


understand that I am required to attend monthly committee meetings during the school
calendar year.
NAME ______________________________________________________
SCHOOL ______________________________________________________
SCHOOL TELEPHONE ( ______ )
_____________________________________________
HOME ADDRESS ______________________________________________________
CITY/ZIP ______________________________________________________
HOME TELEPHONE ( ______ )
_____________________________________________
EMAIL ADDRESS
(HOME) www.
__________________ (WORK) www.
________________
LIST OTHER UNION/COMMITTEES AND ______________________________________________________________________________________________

SCHOOL ACTIVITIES ______________________________________________________________________________________________

__________________________________________________________

UNION INVOLVEMENT
DELEGATE /ALTERNATE DELEGATE
 YES  NO
WHY DO YOU WANT TO JOIN THIS ______________________________________________________________________________________________

COMMITTEE? (USE REVERSE SIDE IF ______________________________________________________________________________________________

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

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