ASCB WICB Speakers List Nomination Form

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Name of nominee (self or other)

Nominee's email address *

Nominee's institution

Nominee's ORCID

Nominee's department

Nominee's website or institutional webpage

Academic Title

Instructor

Lecturer

Assistant Professor

Associate Professor

Professor

Research Scientist

Professor Emeritus

Group Leader/Head

Other:

Clear selection

Gender identity/Sexual Identity (select all that apply)

Female

Trans/intersex

Non-binary

Prefer not to answer

LGBTQA+

Other:

Clear selection

Preferred pronouns

She/her/hers

He/him/his

They/them/theirs

Other:

Clear selection

Race and ethnicity

Black

White (caucasian)

Hispanic or Latinx

Pacific Islander or Hawaiian

First Nations/Indigenous/Alaska Native

Asian

Two or more races

Prefer not to answer

Other:

Clear selection

Previous ASCB/EMBO Meeting Participation (check all that apply)

Mini-Symposia

Keynote

Award winner

Subgroup

Poster

Micro-symposia

Session chair

Other:

ASCB Service (Past or Present, check all that apply)

ASCB Committee Member (WICB)

ASCB Committee Member (MAC)

ASCB Committee Member (Education)

LGBTQ+ Task Force/Committee Member

Former COMPASS member

ASCB Committee Member (International Affairs)

ASCB Council Member

ASCB Ambassador

ASCB Committee Member (Nominating)

ASCB Committee Member (Public Policy)

ASCB Committee Member (Program)

ASCB Committee Member (Finance & Audit)

ASCB Committee Member (Public Information)

MBoC Editorial Board

Other:

Research Keywords (check all that apply)

Actin Cytoskeleton

Microtubule Cytoskeleton

Cilia & Flagella

Molecular Motors

Cell Structure, Mechanics and Motility

Cell-Matrix and Cell-Cell Interactions

Membrane Trafficking

Organelles and Membrane Biology

Nuclear Structure and Function

Regulation and Organization of the Genome

Cell Division: Mitosis and Meiosis

Signal Transduction and Signaling Networks

Proteostasis, Cell Stress and Aging

Cell Polarity

Development and Morphogenesis

Cancer Cell Biology

Normal and Diseased Organs and Therapeutics

Cell Biology of the Neuron

Cell Biology of Microbes and Parasites

Physical, Chemical and Systems Cell Biology

New Technologies and Frontiers

Science Education

Scholarship of Diversity

Consent to share information (please select one)

This is a self nomination and I give consent for this information to be shared publicly on the WICB Speakers List

I am nominating someone else and understand they will be contacted to provide consent for information sharing

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