Board Nomination Form

Nominee’s Name (you may self-nominate) *

Employer *

Title *

Graduation year *

Major(s) *

Contact Info (used only to notify you of the election results)

Email *

Phone *

Linkedin Profile *

Relevant past work of note (you do not have to list all your experience) *

Significant technology interests *

Awards at NIU or in business/career *

Why do you want to become an ETAS director, and what new ideas/technology will you bring? *

What past experience have you had with ETAS and what other volunteer experience do you have? *

Upload a photo of yourself