Nomination Form for the staff positions on University Council

Members of staff are invited to nominate themselves or other staff members to serve on Council. Nominations must be seconded by a member of staff. Nominations should include a supporting statement of up to 500 words; guidance on what to include in the statement can be found here.

This form must be submitted by no later than 9.00 a.m. on Monday 21 May 2012.
All asterisked fields * must be completed.

Nominee Details Please note that you may nominate yourself or another member of staff. Please provide details of the member of staff nominated to serve on Council below.
Title:
* First Name:
* Surname:
* Telephone Number:
* University email address:	@salford.ac.uk (Please insert the first part of the email address only)
Position
* Address for correspondence
Please indicate the category of membership of person nominated to serve on Council: * If you are nominating a member of staff other than yourself, please provide your details below: Name: Email address: Category:

Seconder details
The following person has agreed to support the nomination:
Title:
* First Name(s):
* Surname:
* University email address:	@salford.ac.uk (Please insert the first part of the email address only)
* Telephone number:
Position
* Address for correspondence
I understand that the seconder is a member of the following category: *
Statement of Supporting Information
You should provide below a statement of no more than 500 words addressing the issues set out in this communication

Acceptance of Office
In submitting this form you are confirming that, if nominated to Council, you undertake to accept office for the designated period of office (ie until 31 July 2015) and adhere to the duties of council members as set out in this communication.