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


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 *

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