www.alumni.caltech.edu
The following information is for internal Nominations Committee Review Only

Question Title

* 1. For petitions, please select "Yes, I am nominating myself" for the question below.

Question Title

* 2. Nominator’s Full Name

Question Title

* 3. Nominator’s Email Address

Question Title

* 4. Nominee's full name

Question Title

* 5. Nominee's email address

Question Title

* 6. Nominee's phone number

Question Title

* 7. If someone recommended you complete a CAA Board Nomination form, please share the name of the person or people who referred you.

Question Title

* 8. As a Board Director, we request that you make an annual financial gift supporting Caltech. Are you comfortable with making a gift of any amount? The gift can be directed to any area of the Institute.

Question Title

* 9. Board members living in the US should expect to attend at least one meeting on the Caltech campus annually, in addition to attending three virtual or hybrid meetings. Board members arrange and pay for their travel expenses; and are not reimbursed by the organization. (Travel may be tax-deductible, please consult your tax preparer.) Committees meet between Board meetings, at a frequency set by each committee chair. Board members should also participate in Caltech alumni events and make an annual financial contribution to Caltech. In your own words, please state that you, as a nominee, are aware of these expectations and are willing and able to participate as outlined..

Question Title

* 10. Professional CV or resume, limited to 5 pages (PDF preferred)

PDF file types only.
Choose File

Question Title

* 11. If applicable, please provide your Linkedin profile link.

Question Title

* 12. Examples of current and/or past engagement with CAA groups or events (CAA specifically, as opposed to Caltech) [limit 50 words]

Question Title

* 13. Examples of current and/or past engagement with Caltech groups or organizations [limit 50 words]

Question Title

* 14. Statement of Interest describing the nominee’s interest in and qualifications for serving on the CAA Board [limit 350 words]

Question Title

* 15. Any additional info you feel is relevant to the nominations process [limit 100 words] (optional)

The following information is for the public ballot and website materials

Question Title

* 16. Board Nominee Name with preferred spelling and appropriate degree designations as it should appear on the slate, if selected. (eg., Robin Techer, PhD).

Question Title

* 17. Current professional title and name of employer

Question Title

* 18. Current residence of city, state, and country (if outside the U.S.)

Question Title

* 19. Headshot with print-quality resolution (300 dpi or higher)

PNG, JPG, JPEG, GIF file types only.
Choose File

Question Title

* 20. Candidate platform information, identifying opinions on priorities and issues facing CAA, ideas for technical activities, and suggestions for business development initiatives or strategic partnerships. [limit 250 words]

T