Employee Committee Signup Form
Register your interest to join a workplace committee and contribute to our organization.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Department
*
Please Select
Human Resources
Finance
Operations
Marketing
IT
Sales
Other
Job Title
*
Which committee(s) are you interested in joining?
*
Social Committee
Wellness Committee
Diversity & Inclusion Committee
Safety Committee
Sustainability Committee
Other
Please describe your relevant skills or experience for the committee(s) selected.
*
Why do you want to join this committee?
*
How much time can you commit per month to committee activities?
*
Please Select
1-2 hours
3-5 hours
6-10 hours
More than 10 hours
Please indicate your general availability for committee meetings.
*
Weekdays - Morning
Weekdays - Afternoon
Weekdays - Evening
Weekends
Do you have previous experience serving on a workplace committee?
*
Yes
No
If yes, please briefly describe your previous committee experience.
Is there anything else you would like to share or suggest regarding committee participation?
Submit Application
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