Name:(first last)

KCC Email:

Delegate Type:

Faculty/Staff
Student

First Committee Choice:
(Required)

Curriculum
Instruction
Legislative
Strategic Planning and Budget
Students

Second Committee Choice: (alternate):
(Optional)

Curriculum
Instruction
Legislative
Strategic Planning and Budget
Students

Third Committee Choice: (alternate):
(Optional)

Curriculum
Instruction
Legislative
Strategic Planning and Budget
Students

Comments or special requests: