Ithaca College Staff Council

Request for Action Form

For questions about this form, please email staffcouncil@ithaca.edu.

Submission Type*

Name is only shared among Staff Council Executive Committee Public - Name will be attached throughout the process Anonymous

Purpose of Communication*

Question Feedback Proposal

Please explain your question in as much detail as possible in the box below regarding policy, procedure, practices, processes or benefits*

Please provide information on event or initiative. Include event name, date and venue when applicable*

Please state in detail the concern/problem and its impact. Also, please include a proposed solution or recommendation.*

Name*

First Name

Last Name

Department

Ithaca College Email

Job Title

optional

Phone

optional

As you selected the Anonymous submission type, the Staff Council will not be able to follow up directly.

Staff Council Representative

First Name

Last Name

May we post your comment anonymously to the staff council website?*

No Yes