Academic Senate Service Volunteer Form
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First Name	*
Last Name	*
Title	SELECT TITLE Emeritus Professor Assistant Professor Associate Professor SOE Lecturer *
Department	SELECT DEPARTMENT MY DEPT IS NOT LISTED AEROSPACE STUDIES ANDERSON SCHOOL ANESTHESIOLOGY ANTHROPOLOGY APPLIED LINGUISTICS AND TESL ARCHITECTURE AND URBAN DESIGN ART ART HISTORY ARTS AND ARCHITECTURE ASIAN AMERICAN STUDIES ATMOSPHERIC SCIENCES BIOENGINEERING BIOLOGICAL CHEMISTRY BIOMATHEMATICS BIOSTATISTICS CARDIO THORACIC SURGERY CARDIOLOGY CHEMICAL AND BIOMOLECULAR ENGINEERING CHEMISTRY AND BIOCHEMISTRY CHICANA & CHICANO STUDIES & CESAR CHAVEZ CENTER CIVIL & ENVIRONMENTAL ENGINEERING CLASSICS CLINICAL ALLERGY AND IMMUNOLOGY CLINICAL NUTRITION COMMUNITY HEALTH SCIENCES COMPARATIVE LITERATURE COMPUTER SCIENCE DENTISTRY DERMATOLOGY DESIGN DESIGN & MEDIA ARTS EARTH & SPACE SCIENCES EAST ASIAN LANGS & CULTURES ECOLOGY & EVOLUTIONARY BIOLOGY ECONOMICS EDUCATION ELECTRICAL ENGINEERING EMERGENCY MEDICINE ENDOCRINOLOGY ENGLISH ENVIRONMENTAL HEALTH SCIENCES EPIDEMIOLOGY ETHNOMUSICOLOGY FAMILY MEDICINE FILM, TELEVISION AND DIGITAL MEDIA FRENCH AND FRANCOPHONE STUDIES GENERAL INTERNAL MEDICINE GENERAL SURGERY GEOGRAPHY GERIATRICS GERMANIC LANGUAGES HARBOR UCLA/ ANESTHIESIOLOGY HARBOR UCLA/ EMERGENCY MEDICINE HARBOR UCLA/ FAMILY MEDICINE HARBOR UCLA/ INTERNAL MEDICINE HARBOR UCLA/ NEUROLOGY HARBOR UCLA/ OBSTETRICS AND GYNECOLOGY HARBOR UCLA/ ORTHOPAEDIC SURGERY HARBOR UCLA/ PATHOLOGY HARBOR UCLA/ PEDIATRICS HARBOR UCLA/ PSYCHIATRY HARBOR UCLA/ RADIOLOGY HARBOR UCLA/ SURGERY HARBOR/UCLA-PEDIATRICS HEAD AND NECK SURGERY/OTOLARYNGOLOGY HEALTH SERVICES HISTORY HUMAN GENETICS INFORMATION STUDIES ITALIAN LAW LINGUISTICS MATERIALS SCIENCE AND ENGINEERING MATHEMATICS MECHANICAL & AEROSPACE ENGINEER MEDICINE MEDICINE-DEPT ADMINISTRATION MEDICINE-GERIATRICS MEDICINE-HEMATOLOGY-ONCOLOGY MEDICINE-RHEUMATOLOGY MICROBIOLOGY, IMMUNOLOGY & MOLECULAR GENETICS MILITARY SCIENCE MOLECULAR & MEDICAL PHARMACOLOGY MOLECULAR, CELL & DEVELOPMENTAL BIOLOGY MUSIC MUSICOLOGY NAVAL SCIENCE NEPHROLOGY NEUROBIOLOGY NEUROLOGY NEUROPSYCHIATRIC INSTITUTE NEUROSURGERY NR EASTERN LANGS & CULTURES NURSING OBSTETRICS & GYNECOLOGY OCCUPATIONAL MEDICINE OPHTHALMOLOGY ORTHOPAEDIC SURGERY PATHOLOGY AND LABORATORY MEDICINE PEDIATRIC SURGERY PEDIATRICS PEDIATRICS-ADMINISTRATION PHILOSOPHY PHYSICS & ASTRONOMY PHYSIOLOGICAL SCIENCE PHYSIOLOGY PLASTIC SURGERY POLICY STUDIES POLITICAL SCIENCE PSYCHIATRY PSYCHIATRY & BIOBEHAVIORAL SCIENCES PSYCHOLOGY PUBLIC POLICY PULMONARY AND CRITICAL CARE MEDICINE RADIATION ONCOLOGY RADIOLOGY RHEUMATOLOGY SCANDINAVIAN SECTION SLAVIC LANGUAGES AND LITERATURES SOCIAL WELFARE SOCIOLOGY SPANISH AND PORTUGUESE SPEECH & COMMUNICATIONS STDS STATISTICS SURGERY-CARDIOTHORACIC SURGERY-HEAD & NECK SURGERY-PEDIATRIC SURGICAL ONCOLOGY THEATER URBAN PLANNING UROLOGY VASCULAR SURGERY WORLD ARTS & CULTURES *
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STANDING ACADEMIC SENATE COMMITTEE PREFERENCE
First Choice	SELECT STANDING COMMITTEE 1 NO PREFERENCE Academic Assembly - Statewide Academic Freedom Charges Committee Committee on Committees (ConC) Committee on Continuing and Community Education (CCCE) Council on Academic Personnel (CAP) Council on Planning and Budget (CPB) Council on Research (COR) Committee on Diversity and Equal Opportunity (CODEO) Committee on International Education Faculty Research Lectureship Committee on Faculty Welfare Graduate Council Grievance Advisory Committee UgC-Honors, Awards, and Prizes Intercollegiate Athletics Committee on Library and Scholarly Communications (COLASC) Privilege and Tenure (P&T) Rules and Jurisdiction (R&J) Committee on Teaching Undergraduate Admissions & Relations with Schools Undergraduate Council University Emeriti and Pre-Retirement Relations *
Second Choice	SELECT STANDING COMMITTEE 2 NO PREFERENCE Academic Assembly - Statewide Academic Freedom Charges Committee Committee on Committees (ConC) Committee on Continuing and Community Education (CCCE) Council on Academic Personnel (CAP) Council on Planning and Budget (CPB) Council on Research (COR) Committee on Diversity and Equal Opportunity (CODEO) Committee on International Education Faculty Research Lectureship Committee on Faculty Welfare Graduate Council Grievance Advisory Committee UgC-Honors, Awards, and Prizes Intercollegiate Athletics Committee on Library and Scholarly Communications (COLASC) Privilege and Tenure (P&T) Rules and Jurisdiction (R&J) Committee on Teaching Undergraduate Admissions & Relations with Schools Undergraduate Council University Emeriti and Pre-Retirement Relations *
Third Choice	SELECT STANDING COMMITTEE 3 NO PREFERENCE Academic Assembly - Statewide Academic Freedom Charges Committee Committee on Committees (ConC) Committee on Continuing and Community Education (CCCE) Council on Academic Personnel (CAP) Council on Planning and Budget (CPB) Council on Research (COR) Committee on Diversity and Equal Opportunity (CODEO) Committee on International Education Faculty Research Lectureship Committee on Faculty Welfare Graduate Council Grievance Advisory Committee UgC-Honors, Awards, and Prizes Intercollegiate Athletics Committee on Library and Scholarly Communications (COLASC) Privilege and Tenure (P&T) Rules and Jurisdiction (R&J) Committee on Teaching Undergraduate Admissions & Relations with Schools Undergraduate Council University Emeriti and Pre-Retirement Relations *
Optional Comments Please list special interest or expertise that is relevant to a particular committee.	50 words maximum
For more information on any of the Standing Committees of the Academic Senate, please review the committees page. For information on the criteria for teaching, research, and service, please see the CALL. Please know that the Committee on Committees (ConC) will do its best to accommodate your choices for Academic Senate service, although in times of great need, you may be asked to serve on a committee that you did not indicate preference for.  We will keep your choices on file for the academic year, and, should your expertise be needed, a member of ConC will contact you if vacancies occur.  If your choices change within this academic year, please feel free to submit a new entry.