Committee on Diversity Issues Membership Application

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1. Please provide your information below (Required.)

Name

Email

City

State

Institution/Organization

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2. Summary of your Curriculum Vitae 5 pages maximum (PDF, DOC, DOCX) (Required.)

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3. Letter of interest highlighting your skills and expertise, along with contributions you would like to make to the committee (PDF, DOC, DOCX) (Required.)