University Committee Chancellor Voting Form
Please complete this form to participate in the chancellor election. Your responses are confidential and will be used solely for the purpose of the voting process.
Full Name
*
First Name
Last Name
University Email Address
*
example@example.com
Committee Role/Position
*
Please Select
Faculty Member
Department Chair
Staff Representative
Student Representative
Other
Phone Number (for verification)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please confirm your eligibility to vote in this election.
*
I confirm that I am eligible to vote as a committee member.
I am not eligible to vote.
Select the candidate you wish to vote for as Chancellor.
*
Dr. Alice Johnson
Prof. Michael Smith
Dr. Emily Lee
Abstain
Please rate each candidate on the following criteria:
*
Rows
Leadership Skills
Academic Vision
Communication
Integrity
Dr. Alice Johnson
1
2
3
4
Prof. Michael Smith
5
6
7
8
Dr. Emily Lee
9
10
11
12
How would you rate the overall election process?
*
1
2
3
4
5
Additional Comments or Feedback (optional)
Signature (please sign to confirm your vote)
*
Submit Vote
Submit Vote
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