Nominee Information

Please complete the form below for ACTS 2016 Board of Directors nominations for the Director -at- Large position. Please provide the information requested for the nominee.and ensure all information is up to date. Nominations are welcome from all ACTS members (individual or institutional). Members interested in standing for election may either (a) self-nominate, or (b) nominate another ACTS member.

* 1. First and Last Name of Nominee:

* 2. Nominee Credentials:

* 3. Nominee Institution:

* 4. Nominee Email:

* 5. Please write a paragraph describing your qualifications, your motivation for wanting to serve on the ACTS Board of Directors, and your potential contribution to ACTS:

All nominees must submit a photograph and an NIH biosketch to in order to be considered for a nomination. Please email your photograph and NIH biosketch no later than December 14, 2015. 

* 6. Are you self-nominating?