APS Council Nomination Form

Congratulations on being nominated for an APS Council position and thank you for your interest in serving APS in this capacity. To be considered for the position of interest for the 2013 APS Council Election, please complete this form by January 25, 2013. Job descriptions for the vice president and councilor-at-large positions are available for more details. Contact the APS Nominations Committee members with your questions or suggestions.

All fields marked with an asterick (*) are required.

Submitter Information:
* Name:
* Institution/Company:
* Email Address:
* Phone:
* Position: Vice PresidentCouncilor-at-Large

Describe your leadership experience: (e.g., dept head, team leader, committee or board chair, etc.) (1500 character limit including spaces)
APS volunteer service listing: (e.g., committees, activities and accomplishments) (1500 character limit including spaces)
Non-APS professional service listing: (e.g., activities and accomplishments) (1500 character limit including spaces)
Describe your mentoring or training experience: (e.g., students, colleagues) (1500 character limit including spaces)
Professional awards listing: (e.g., APS Fellow, division awards, etc.) (1500 character limit including spaces)
Significant publications listing: (e.g., do not list more than 10 publications; examples of products, projects and patents should also be included) (3500 character limit including spaces)
Vision Statement: (3500 character limit including spaces)

You will receive an email confirmation of your submission. (If you do not receive an email confirmation or have any additional questions please contact Cindy Scheller at APS: cscheller@scisoc.org or 651.454.7250.)