2021 NCURA Region VI Officer Nomination Form
Please answer the following questions for the consideration of your nomination for a 2021 NCURA Region VI Officer role.

The 2021 NCURA Region VI Nominations and Elections Committee will review all applications and notify candidates regarding selection for the election slate once review and consideration has been completed.

Reflective of NCURA's Commitment to Diversity, Equity, and Inclusion (DEI), we are committed to achieving diversity of all kinds in our leaders, including but not limited to gender, ethnicity, experience, and institution type, and we encourage all interested members to become involved in leadership opportunities in NCURA.

The full application package includes a) this form, including statement of interest and DEI position, b) your resume, and c) letter(s) of recommendation (optional). Resume and letters must separately be emailed to officers@ncuraregionvi.org.
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This nomination is for the following Officer position: *
I am nominating: *
Nominee Information:
Name: *
Position/Title: *
Organization/Institution: *
Contact Information (phone, email, mailing address): *
Nominee/Nominator Statement (describe interest/qualifications; statement should also include the nominee's personal position on and experience with diversity, equity, and inclusion): *
In addition to completing this form, your complete nomination must also include nominee's resume (no more than two pages) and any letters of recommendation (letters are optional). Please send resume and letter(s) of recommendation to officers@ncuraregionvi.org. Please note that your nomination will not be complete unless a resume and letter(s) of support are separately submitted via email. Thank you for submitting your nomination!
If you have any questions, please do not hesitate to contact Csilla Csaplár, NCURA Region VI Nominations and Elections Committee Chair, at csaplar@stanford.edu.
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