Staff Council Election Nomination Form

Eligibility Requirements:
•Be a staff member of UNG for a minimum of six (6) months
•Non-faculty University employees
•Does not have an active disciplinary documentation letter.

Your Name Your Name * First Last
Your Email *
Name of Your Nominee Name of Your Nominee * First Last
Nominee Phone Nominee Phone - ### - ### ####
Nominee Email *
Nominee Title
Nominee Department
Nominee Primary Campus *

Nominee Primary Campus Blue Ridge Cumming Dahlonega Gainesville Oconee
Nominee's Supervisor Email *