Committee on Diversity Issues Membership Application

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* 1. Please provide your information below

Name

Email

City

State

Institution/Organization

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

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

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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)

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.