Submit a Referral
Academic Senate Referral Request Form
- Fill out the online Referral Form.
- Provide all information requested in the form (incomplete referrals will be returned).
- Print a copy of the completed form for your records, if needed.
- Submit the form electronically by clicking on the "Submit" button.
If you prefer to submit the Referral Form in person or by campus mail, please request a form by email to firstname.lastname@example.org.
Referrals will be placed on the agenda of the next meeting of the Executive Committee if submitted no less than 5 work days (a week) before the date of the meeting. Under special circumstances and whenever possible, requests to waive the deadline may be granted with an appropriate justification.
Referral Process Flowchart
Faculty, Administrators, Staff, or Students may submit a referral for consideration.