2018-2019 Quarterly Committee Report
This form is the new system for submitting your hours of labor served on a UCSB Committee as a UCSB GSA Committee Representative ("GSA Rep").
All fields are required to efficiently disburse payment to GSA Rep.
If you serve on more than one committee, please fill a separate report for EACH committee.

If you have questions, please contact the UCSB GSA Vice President of Committees and Planning at:
gsavpcomplan.ucsb@gmail.com
Email address *
What is your FIRST and LAST name? *
Your answer
What is your PERM number? *
Your answer
What is the FULL NAME of your committee? *
Your answer
What is the ACRONYM of your committee? *
Your answer
What is the NAME of your committee's point of contact? *
Your answer
What is the TITLE of your committee's point of contact? *
Your answer
What is the EMAIL of your committee's point of contact? *
Your answer
What is your US residency status? *
What is your California residency status? *
What is your Student Status? *
For which quarter is this report? *
Please list all dates committee met *
Your answer
How many hours (rounded up) did you work on this committee this quarter? *
Please detail your role on the committee and the major discussions and issues you addressed this quarter. Include all items that required votes directly related to graduate students and how you voted. If any votes or information needs to remain confidential (should not be dispersed publicly), please specifically note this, but the GSA exec board needs to be made aware of all votes that pertain to graduate student issues. Also say if you appointed a temporary proxy to attend the committee meeting in your absence. (Please note, payment can be delayed if this information is incomplete.) *
Your answer
Please discuss any items that you feel need the attention of the GSA Executive Board here. *
Your answer
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