SAM Committee Nomination/Application
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What is your full name? *

 
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Thank you for your interest in SAM's committees.

Your answers will help us determine which committees can use your time & talents better.

Let's get started!

 
Tell us a little about yourself

 
Where do you currently work at? Please Provide name of your institution and also an address. *

 
You have an option to apply for yourself or nominate someone else

 
Are you nominating/ applying yourself *

     
 
Are you nominating someone else

     
 
If you are recommending someone else please provide Full name & Contact information

 
Please provide the names of three colleagues that know you, with a least one being a current SAM member *

Please include their E-mail adreesses.
 
What Committee are you interested in joining (You may select more than one) *


 
Could you tell us what you would bring to the committee as a member? *

 
Please submit a short CV in .pdf format to SAMHQGlobal@gmail.com *

Thank you for your interest in helping SAM. We will get back to you shortly
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