2022 CSA Board of Directors - Candidate Information Form

Question Title

* 1. Name:

Question Title

* 2. Credentials (i.e. PhD, PE, etc.):

Question Title

* 3. Company/Organization:

Question Title

* 4. Job Title:

Question Title

* 5. Email:

Question Title

* 6. Phone:

Question Title

* 7. Professional Bio - 150 Word Limit (Note: This will appear on the ballot)

Question Title

* 8. Headshot (for use in publications and website if elected)