3-year Advisory Board Application/Renewal Form - UW System IDEAS Alliance University of Wisconsin Oshkosh

Advisory Board Agreement Form

I have read and agree to the provided position description. I agree to attending or participating in a minimum of 3 meetings or events over three years. Participation examples include but are not limited to attending a meeting, submitting bi-annual campus reports, or helping at an IDEAS Alliance event.

Name*
First Last
Date*
MM slash DD slash YYYY

Advisory Board Application and Renewal Form

For new appointees and 3-year renewal for returning members.

Are you a new applicant or returning board member?
- New Applicant
- Returning Board Member
Applying for term: Fall 2022-Spring 2025
Date*
MM slash DD slash YYYY
Name*
First Last
Email*
Job Title*
Department*
Home Institution*
How many years have you been working in UW System?*
Name and job title of person who is referring you to the board:*
Contact information for person who is referring you to the board*
Briefly describe why are you interested in serving on the UW System IDEAS Alliance Advisory Board. Describe your interest in promoting excellence and diversity in STEM education*
Indicate your commitment to attend meetings and participate in committee work for three years*
1. By January of their third year, a renewal letter will be sent to Members. If a Member chooses to renew for another three-year term, they need to notify the co-chair by February. This allows the co-chairs to determine if the campus needs to be contacted for applications. 2. Members are allowed to serve an unlimited number of terms, as long as they are meeting the expectations of Advisory Board Members. 3. If a Member needs to resign from the board, a written notification should be provided to the Program director.
- I commit to a three year term as described in the bylaws
- I am unable to commit to a three year term

UW System Alliance for Inclusion, Diversity, Equity & Advancement in STEM

UW Oshkosh Campus
Halsey Science Center, Room 121
(920) 424-7414
ideas@uwosh.edu

Due to the Covid-19 pandemic, the IDEAS Alliance is accepting visitors by appointment only. Please email ideas@uwosh.edu if you need to schedule an appointment.