UIC's

Chancellor's Committee on the Status of Latinos

Online Membership Form

Are you interested in becoming an active member of the Chancellor's Committee on the Status of Latinos (CCSL)?

If so, please complete the following CCSL Online Membership Form  to begin receiving Important information.

NOTE: When you are through, simply hit the "Submit" button once. Though you will not receive an automatic Online confirmation, your information will be Immediately sent to the CCSL Graduate Assistant.

By phone By E-mail

Name: 

Title: 

Campus Address: 

Mail Code: 

Department Name:

Telephone: 

Fax: 

E-mail: 
CCSL Sub-Committee: 
Would you like to be on the CCSL-L mailing list?
Yes
No

Would you like to be on our CCSL-L Listserv?
Yes
No

Please send me e-mail information regarding the next General CCSL Meeting:
Yes
No

Comments:

Please share any additional information that may help us find the right volunteer placement for you. Also, if you have any CCSL related comments, concerns, or questions, do not hesitate to voice them.

For more information, please contact Mitzi Ramos:
(312) 413-8156 or mramos8@uic.edu

Back to CCSL

Page Created: October 31, 2001
Last Updated: January 30, 2002