Representative Application Form

CSEA Chapter 262 is accepting applications for volunteers to be representatives to various Mt. SAC campus committees. If you would like to volunteer to be a CSEA 262 representative, please fill out the form below.

Name

First Name

Last Name

Current Job Classification

Enter your campus e-mail address. If you do not want to be contacted via campus e-mail, provide your personal e-mail address.

Contact Phone

Enter your campus phone number. If you do not want to be contacted on campus, provide your cell phone number.

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Department

Immediate Manager

If you are selected to serve on a governance committee, the Chapter President will notify your manager of your appointment. Your manager does not need to "approve" your appointment.

Committee

Select the committee to which you are interested in serving. You may only select one committee at a time. If you want to apply for another committee, summit another form.

Interest/Qualification

In the space below, please briefly explain (100 words or less please) how you would be able to contribute to the committee and why you are interested in being a representative for your CSEA Chapter 262. This is not a requirement for eligibility, but the preference is to appoint members to committees for which they can most contribute. Having some experience or expertise in the field or subject of the committee is a good example.

Representative Application Form

Area G
Ivan Pastrano, Area Director

Region 35
Jody Grenier, Regional Representative

Santa Fe Field Office
Heng Lim, Field Director

California School Employees Association
2045 Lundy Avenue, San Jose, CA 95131

Labor Relations Representative
Andrew Sundstrom (Interim)

Representative Application Form

Area GIvan Pastrano, Area Director

Region 35Jody Grenier, Regional Representative

Santa Fe Field OfficeHeng Lim, Field Director

California School Employees Association2045 Lundy Avenue, San Jose, CA 95131

Labor Relations RepresentativeAndrew Sundstrom (Interim)

Area G
Ivan Pastrano, Area Director

Region 35
Jody Grenier, Regional Representative

Santa Fe Field Office
Heng Lim, Field Director

California School Employees Association
2045 Lundy Avenue, San Jose, CA 95131

Labor Relations Representative
Andrew Sundstrom (Interim)