Board of Trustees Nomination Form

"*" indicates required fields

* Mandatory fields

Please choose a nomination type, self or third party*

Nominate myself

Nominate a third party

Nominator's details

Name*

Prefix Full Name Family Name

Email*

I have notified the nominee and have their consent for this nomination.

Yes

No

Nominee's details

Candidate Name*

Prefix Full Name Family Name Suffix

Email address*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Nominating for*

Organizations Election

Chapters Election

Describe the reasons the nominee should be considered for a role on the ISOC Board of Trustees

You may copy-paste a resume/curriculum vitae or provide a link to the nominee's information here, or upload your file in the field below.

Upload File

Accepted file types: pdf, txt, doc, docx, odt, rtf, html, Max. file size: 10 MB.

References (2-3). By providing references you agree that the Nominations Committee may contact these individuals for information on your qualifications for board service.

What do you feel are the most important goals/priorities for ISOC?*

What do you think you could do to help?*

The Internet Society operates under a wide range of competitive situations, subject to a variety of laws, regulations, and cultures. This includes oversight of the Public Interest Registry, which manages one of the world’s largest top-level domains – a highly competitive industry. Moreover, our inherent values, also associated with our brand, include integrity, openness, and honesty.

Please declare any potential conflicts of interest you may have.

Please declare any potential conflicts of interest you suspect the nominee may have.

Personal Data consent*

I provide my expressly informed consent to the use of my Personal Data as described in the Internet Society Privacy Statement.