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2020 UEC Member Nomination Form
Please fill in the below information for your nominee to serve on the ALS UEC
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* Indicates required question
Nominee First Name
*
Your answer
Nominee Last Name
*
Your answer
Nominee Email Address
*
Your answer
Nominee Institution (for LBNL, also provide division)
*
Your answer
Discipline
*
Choose
Physics
Chemistry
Biology
Medicine
Engineering
Other
Career Level
*
Choose
Undergraduate Student
Graduate Student
Postdoctoral researcher
Laboratory Staff
Assistant Professor (non-tenured)
Professor (tenured)
Other
Field of Expertise
Your answer
Your First Name (Nominator)
*
Your answer
Your Last Name (Nominator)
*
Your answer
Your Email Address (Nominator)
*
Your answer
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