Nominee's Name *

Nominee's University *

Nominee's Email *

Nominee's Phone Number *

Nominee's CV *

Please upload the CV for the nominee.

20MB max

Board Position *

Confirm the board position being considered for this nomination.

President-Elect

Treasurer

Person(s) Submitting this Nomination *

Provide the name, university, email, and phone number for everyone making this nomination.

If this is a self-nomination, please indicate "same as above".

Colleague Nomination *

If you are making this nomination on behalf of a colleague, have they been informed?

Yes

No

N/A

Biographical Information *

In 500 words or less, summarize current titles and positions, relevant past employment history, academic degrees and the granting institution, and CCC area, if applicable.

Qualifications and Plans *

In 500 words or less, describe how:

- Your abilities and experience fit the nature of the position for this nomination.

- If elected for the position, you plan to fulfill the associated duties. 

Current and Previous CAPCSD Activities *

Briefly list, and include dates, of current and previous CAPCSD activities in which you have been involved. 

Other Professional Association Activities *

Briefly list, and include dates, of other professional association activities in which you have been involved.