Organization Member Advisory Council Nomination Form

"*" indicates required fields

Step 1 of 2

I would like to*

Nominate myself

Nominate a third party

Nominator's Details

Nominator Name

First Last

Email Address*

I have notified the nominee of this nomination.

Yes

Nominee's Details

Candidate Name*

First Last

Organization*

Job Title

Email Address*

Phone

Country

Why should you be considered for OMAC leadership? What do you think you may bring to the role?*

Why should the nominee be considered for OMAC leadership? What do you think he/she may bring to the role?*

Any additional comments