May 6, 2015 Community Meeting Issue Submission Page

May 6, 2015 Community Meeting Issues and Concerns

The mission of the Employee Forum is to address constructively the concerns of UNC-CH Employees. This form is for submitting concerns for discussion at the May 6, 2015 Community Meeting. Presenters will use the information you provide on your form to provide better information in their presentations. Thank you for your interest in the Employee Forum.

Name*
First Last
Job Title*
Department*

Name of the UNC-Chapel Hill department in which you work.
Campus or Home Address*
Street Address Address Line 2 City State ZIP Code
Email*
Enter Email Confirm Email
Phone*
Issue or Concern for May 6, 2015 Spring Community Meeting*
If we need more information, could someone from the Employee Forum contact you for additional details about your issue/concern?*
- Yes
- No
Do you prefer to remain anonymous as the Employee Forum pursues your issue/concern?*
- Yes
- No
- Does Not Matter
Name
This field is for validation purposes and should be left unchanged.