Committees Curriculum Vitae Form - Surrey Teachers Association

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Name

First

Last

Personal Email

I would like to join the committee below

School/Site

Home Address

Address Line 1

City

State / Province / Region

Postal Code

Phone

Current Teaching Role

I am interested in serving on this committee because

Is this a self-nomination

Applicants may wish to provide, on a voluntary basis, information as to whether they self-identify as a member of one or more equity-seeking groups. This includes women, racialized persons, Aboriginal persons, persons who are trans, gender diverse or two-spirit, persons with a disability, and persons who are lesbian, gay or bisexual.

I self-identify as

NOTE: If you are currently on sick leave and/or in receipt of Health and Wellness or SIP benefits, and expect to be so during any portion of the term of this position, your application will not be considered at this time. However, you are encouraged to apply to any STA position at a future date.

This information will be made available to the STA Executive Committee and appropriate members.

Date

Signature

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