406 Low Library MC 4334 / 212-854-6825 / FAX 212-854-9123
school (or category of officer): ___________________________
constituency (student, tenured or nontenured faculty): _____________________
____ Number of Senate seats to be filled
( ) ballot (e-mailed or on Web) ( ) meeting of the entire constituency
( ) indirect election by student governing body
I, the undersigned, hereby certify as follows:
The election was held in accordance with the Senate Elections Code and By-laws.
Self-nominations were solicited from the entire constituency from _________ to _________ .
A vote was held at a meeting on __________ or balloting occurred from ________ to ________.
candidate(S): Name / # votes received
Total number of voters:
Invalid ballots: ____________
Our constituents have elected the following, who met the requirement that winners must receive at least one-third of the votes cast:
WINNER(S): name / email address / telephone / mailing address
PLEASE INDICATE WHETHER SERVING A FULL TWO-YEAR TERM.
Divisional Elections Commissioner/Date (print and sign): ___________________________________
Signature here of the dean/administrator, student body president, or constituency leader responsible for the election.
University Senate Elections Commission Chair/Date: ______________________________