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Participatory Governance - Participation Interest Form

Everest College Phoenix (ECP) will launch the participatory governance plan in June 2009. From the opportunities listed below, please select the council(s) and/or functional subcommittee(s) in which you would like to participate.

Name: Charles Murphy ______________________________________________________________

Contact Information (Email and/or Cell Phone): regentsex@hotmail.com _____________________________

Please complete:

Student or Alumni - Program: Criminal Justice _____online_____________________ CUM GPA__3.0___

Location (Circle One): Online Mesa Phoenix

Indicate with a ‘X” committees you are interested in .

__x__ College Council

_x___ College Council: Functional Subcommittees

____ Staff Development

____ Administrative Services

____ Technology

__x__ Facilities

__x__ Safety and Compliance

__x___ Faculty and Curriculum Council

__x___ Faculty and Curriculum Council: Functional Subcommittees

____ Accreditation

____ Student Learning and Outcomes

____ Student Success

_x___ Program Planning

__x__ Transfer Credit

To express interest please submit completed forms to Michelle Sanchez at msanchez@cci.edu by Wednesday, June 17 , 2009.

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