Council Representative Nomination Form

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The information collected on this form is used only for the nomination of graduate students who wish to be a GSA Councillor representing graduate students in their department or program.

The information collected on this form will be destroyed 24 hours after the election result or appointment.

Read the Councillor Handbook (Quick Guide) to learn more about being a GSA Council Member.

Information and privacy: questions regarding the collection of information on this form can be directed to the form administrator.
Full Name*

First

Last
Student ID Number*
Please enter your 8-digit UW student ID number.
Email*
Statement of Interest*
Briefly describe why you wish to serve on the GSA Council.
Tell us about yourself*
Please provide a brief bio of up to 100 words.
Department/Program*
Please choose your department/program. Representatives may be elected or appointed, depending on the status of their department/program.
Other Department/Program*
Please describe:
Instagram
This field is for validation purposes and should be left unchanged.

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Council Representative Nomination Form

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