First Name *

Last Name *

Email *

Phone *

I am interested in becoming a member of the Grievance Process Pool. I understand that serving on a case is an 8-15 hour total time commitment that varies case-by-case and often requires engagement at different times across multiple months. *
- Select Option Yes No

I agree to attend the next training opportunity or make arrangements to be trained if I am unavailable at the time it is scheduled. I understand that I must complete training before I serve on a case. *
- Select Option Yes No

I understand that serving on any particular case is completely voluntary, but I will make a good-faith effort to serve when called upon. *
- Select Option Yes No

I understand that my supervisor must complete a release form before I agree to serve on a particular case. Faculty members are not subject to this requirement. *
- Select Option Yes No I am a faculty member.

Do you have any questions at this time?