Diversity Series Nomination Form
Due to funding requirements, nominees must be from the broader Bay Area. Please remember that a demonstrated commitment to supporting diversity and inclusion is a key element of this event. We also encourage you to nominate professionals who would be enthusiastic to interact with a broad group of trainees from multiple backgrounds and disciplines.
Your name *
Your answer
Your email *
Your answer
Nominee *
Your answer
Nominee email *
Your answer
Nominee Institution *
Your answer
Provide a 1-2 sentence lay description of the nominee's research or work. *
Your answer
Provide 2-3 sentences in support of your nominee. *
Your answer
Provide up to 3 sentences of additional information. For example, have you personally interacted with the nominee? Have you attended a class or seminar presented by the nominee?
Your answer
Would you be willing to host the nominee? *
Would you otherwise like to get involved with organizing this seminar? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms