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Nomination Form for GSA Committees

Only active GSA members can make nominations and/or serve on GSA Committees/Council.

Student Members are encouraged to serve!

What's my membership status?

Nomination Deadline: 15 June 2017
Form must be complete to be considered. Contact Pamela Fistell with questions.

Committee Info
I am Self-Nominating      Nominating
Committee(s)

View committees,
their charge, and
current members.
Control- or command-click to select more than one.

 

*No open positions for upcoming term

 

**Visit http://www.geosociety.org/aboutus/SAC.htm

Candidate Info

Name
First
Middle
Last

Address
Street
City
State/Prov
ZIP/Postal
Country
Phone
E-mail
Member ID
(if self-nominating)
Service GSA Service:
Professional Service to other societies and organizations:
Affiliation

Control- or command-click to select more than one.

Division Affiliation

Control- or command-click to select more than one.

Professional Interest

Please select the primary professional interest of the nominee or volunteer.

Pertinent Qualifications Begin new paragraphs with this HTML tag: <p>.
Brief Summary of Education Begin new paragraphs with this HTML tag: <p>.
Brief Summary of Work Experience Begin new paragraphs with this HTML tag: <p>.
Include scientific discipline, principal employer (e.g. - mining industry, academic, USGS, etc.)
CV/Resume Link (optional/desired)
If you are NOMINATING SOMEONE other than yourself, please tell us who you are.

Nominator
Name
Address
Phone
E-mail
  Have you asked the nominee if she/he would be interested in serving?
Yes      No
  If yes, has the nominee agreed to be nominated?
Yes      No