Nomination Form

Please fill in your full name.

Please upload a copy of your biography here.

Please upload a photo or headshot.

Please provide a link to your Linked In profile if you have one.

Please list the professional organizations or boards you are a member of.

Select whether you are applying for the Board, Executive Advisory Committee, Associates or as a
Volunteer. Please note that Board and Associate member positions are open only to government employees.

Please describe why you want to be a member of GITEC and what you can you bring to the organization.