ACM: SIG Election Candidate Contact Information Form

2021 SIG Elections
Candidate Information Submission Form

Please include all pertinent information. ^* Indicates required information.


Name of SIG	^*

Affiliation Example: University of ABC; ACME Corp.	^*

Office sought by Candidate	^*
Candidate's Name For all fields, enter name as it should appear on Ballot
First Name	^*
Middle Name
Last Name	^*

Candidate's Member Number Candidate must be a Professional Member of ACM and a member of the SIG for which s/he is seeking to hold office.	^*
Candidate's Email Primary email address to be used for election correspondence	^*