Climate Adaptation Forum Steering Committee Nomination Form
RequiredRequired Question(s)
Required 1.
Please provide complete contact information for the nominee.

First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Email Address:
Address 1:
Address 2:
Postal Code:

Required 2.

Summary of Nominee's Attributes and Qualifications for the Steering Committee including experience related to climate adaption, resilience and/or climate justice.


Note: if nominee does not have past experience related to climate adaptation, resilience and/or climate justice, please list why you think they would be a good addition to the Steering Committee


1000 characters left.
Required 3.

Please submit a resume.


Email a PDF resume to Ann Gisinger at EBC: 

I understand that a resume must accompany my nomination information. 

Yes, I understand and will submit my resume to
I am not able to submit a resume at this time