NC State University Staff Senate

Submit an Issue to the Senate
Completed forms are sent to the Staff Senate. Issues will be referred to one of the Staff Senate's Standing Committees.

Name of Person Raising the Issue:
Email of Person Raising the Issue:
US or Campus Address of Person Raising the Issue:
Phone Number of Person Raising the Issue:

Information Regarding Issue of Concern:

Date:
Title of Issue of Concern:
Description of Issue:
Senator Representing Your District: (find your Senator)
Senator Presenting an Issue on Behalf of:

Mail To:
NC State Staff Senate
Box 7545
Campus Mail