University-Wide Senate Request Form
Name
*
First Name
Last Name
College
*
Department
*
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Request Type
*
Please Select
Agenda Item
Proposal
General Feedback or Comment
Provide the details of your request
*
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: