ACM-W North America Committee Application (Professionals)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form is for graduates who are interested in serving on the ACM-W North America Committee. Please complete the form in full.

Please note that we review applications on a regular basis, and may not respond immediately, as we take time to review applications as they are submitted.

Email *

Full Name: *

Gender: *

Man

Woman

Non-binary

Self-identify

Pronouns

Race/Ethnicity: *

Black or from the African Diaspora

Indigenous

Middle Eastern or Northern African

Asian

White

Latine and/or Hispanic

Required

I have a disability or other chronic condition: *

Yes

Prefer to not disclose

Position *

Industry

K-12

Postsecondary

Non-profit

Government

Required

Organization Name: *

Country *

Please provide a direct URL link to your CV/resume (NOTE: Please make sure the CV/resume is in English and the link is directly to your CV/resume) *

Clear form

Never submit passwords through Google Forms.

This form was created inside of Association for Computing Machinery. Report Abuse

Forms