Staff Advisory Council Application

The Staff Advisory Council (Council) of the Corporate Controller’s Office (CCO) will ensure that employees have a voice in support of creating a welcoming environment, recognizing excellent employees, through sustainability, without fear of retaliation. The mission of the Council is to represent employees on issues that relate to staff and provide a forum through which staff members can discuss any concerns or to offer suggestions for improvement. The Council will make recommendations to the Associate Vice President for Finance & the Corporate Controller.

PLEASE NOTE: The Council shall be composed of one staff representative from each department within the Corporate Controller’s Office; with two representatives for those departments having 14 or more employees. All full-time CCO staff employees are eligible to serve. Council representatives will be elected within each individual CCO department:

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Applicant Information Section

Applicant Name: *

Exempt or Nonexempt Status: *

Exempt

Nonexempt

Job Title: *

Years at Penn State: *

Department: *

Office Address: *

Please enter your office address.

Phone: *

E-mail: *

Supervisor Information

Supervisor Name: *

Supervisor Job Title: *

Supervisor's E-mail: *

Supervisor Phone: *

Supervisor Approval

I have discussed this potential opportunity and commitment with my supervisor and have the support needed to pursue this membership. *

(check here)

Please complete the following questions.

1. Please explain your interest in serving on the Council. *

2. Have you been/are you currently involved in any committee work or special projects within the Office of the Corporate Controller or the University. If so, please describe them below and include the dates of when you were involved. *

3. What qualities, skills, and/or special interests would you bring to Council? *

4. How did you hear about this Staff Advisory Council? *

CCO Web site

Referral

HR Rep

Other...(please explain)

4. How did you hear about this Staff Advisory Council? Other...(please explain)

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