The following information is for internal Nominations Committee Review Only

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

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* 2. Nominator’s Full Name

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* 3. Nominator’s Email Address

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* 4. Nominee's full name

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* 5. Nominee's email address

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* 6. Nominee's phone number

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* 7. If you were referred to apply for a Board position, please list their name(s)

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* 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.

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* 9. All USA residing Directors of the Board are expected to attend 1 meeting quarterly (2 in person per year and 2 virtual), in addition to monthly committee meetings. Board members should also participate when possible, in Alumni Association events and make an annual financial contribution to Caltech. Please provide a statement that you, the nominee, are prepared to commit to CAA Board activities both by video conference and in person and can travel to attend face-to-face meetings approximately two times annually.

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

PDF file types only.
Choose File

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

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

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

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* 14. 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

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* 15. Board Nominee Name with preferred spelling and appropriate degree designations as it should appear on the slate, if selected. E.g., Robin Beaver, Ph.D.

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* 16. Current professional title and name of employer

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

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

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

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* 19. 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]

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