2024 UEC Member Nomination Form

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Please fill in the below information for your nominee to serve on the ALS UEC. Self nominations are allowed.

Please note: upon receiving a nomination, we will request a short bio and a 1-2 paragraph statement from the nominee describing their envisioned goals as a UEC member. This text will be displayed in the election ballot system.

First Name *

Last Name *

E-mail *

Institution *

Discipline *

Physics

Chemistry

Biology

Medicine

Engineering

Materials Science

Earth and Environmental Sciences

Other:

Expertise *

Nominator First Name *

Nominator Last Name *

Nominator e-mail *

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