Statement of Interest for Employee Resource Groups (ERG)

Please review the eligibility requirements and expectations for the Employee Resource Groups (ERG) before submitting the application below.

Program Eligibility

SMPH (Faculty and Staff) or UW Health employee*
Faculty, staff, postdocs and graduate students with appointments such as teaching assistant, research assistants or project assistants, are eligible.
Must work at least 0.5 FTE
Has a Supervisor Statement of Support submitted by their current supervisor

*Here is a list of additional groups, outside of those listed above, that are not eligible: employees in training, student employees, limited appointees, student assistants (except those listed above), interns, student hourly employees, and temporary employees (reference).

Participant Expectations

Communicate continuously with supervisor regarding ERG attendance
Commit to continued growth and personal development throughout the tenure of time on the ERG
Uphold the Conversation Agreements, confidentiality of others, and of UW Health & SMPH
Discuss concerns or possible changes to participation with co-chairs

Participant’s Supervisor Expectations

Make participant available to attend and participate in meetings (1-2 hours a month) on paid time
Support the participant’s ongoing growth and personal/professional development
Contact Afra Smith at ASmith9@uwhealth.org with questions or concerns about participation in the ERG
Notify Afra Smith at ASmith9@uwhealth.org if the participant’s eligibility changes at any time during and/or after the application and selection process

Before submitting a statement of interest

Communicate with your supervisor about your interest in joining an ERG. After you hit submit, they will receive an email with instructions on how to approve your involvement. They must complete this for you to join.
Know that if you are selected to participate in this ERG, you will need to work with your supervisor to ensure you get paid to attend these meetings times if they take place outside of your regularly scheduled work hours.

Employee Resource Groups (ERG) Statement of Interest

Full name(Required)

First Last

Date(Required)

Employee NetID(Required)

Job title(Required)

Unit(Required)

Department, Institute, Center, Office, etc.

Email(Required)

Date of hire(Required)

Use first of the month if exact date is not known.

Supervisor's name(Required)

First Last

Supervisor's phone(Required)

Supervisor's email(Required)

I am applying for membership to the:(Required)

PRIDE (LGBTQ+) ERG

Women’s ERG

Black/African/African American ERG

Military Service Membership ERG

LatinX ERG

Asian/Asian American/Pacific Islander ERG

Disability and Neurodiversity ERG

Email Afra Smith (asmith9@uwhealth.org) to apply for the Resident & Fellow (BIPOC) ERG

What are your goals for participating in this ERG?(Required)

How will your unit/supervisor support your involvement?(Required)

Name

This field is for validation purposes and should be left unchanged.