Coalition Member Nomination Form
Know someone or identify as someone who'd be a great fit for the coalition? LOVE to hear it! Use this form to submit individuals for consideration for the following roles:
  • Core Team Member (Individual, can be representative of a group)
  • Advisory Board Member (Individual, can be representative of a group)
Please review and consider the descriptions of each role included in Section 3 of this form as you submit your candidate for consideration.

The leadership team will consider your submission and follow up accordingly. Thanks so much for your excitement about this work!

Sign in to Google to save your progress. Learn more
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Accountable Tech. Report Abuse