FULL-TERM Candidate Application: ACTO Board of Directors
RequiredRequired Question(s)
1. INFORMATION
 
Required
Please enter the information indicated below.

First Name:
Last Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Country:

Required
Year Joined ACTO:
 

50 characters left.
Required

Name of Your School/Organization:

 

50 characters left.
Required
Board members serve two-year terms. Is this your application for consideration? 
Yes
No
Required
Nominating ACTO Member:
 

50 characters left.
2. DIVERSITY
 
Required
Continental Geography: Please select all that apply

Africa
Asia
Australia/New Zealand
Europe
North America
South America
Required
Diversity Dimensions: Please select all that apply

Age (< 30)
Age (31-69)
Age (>70)
Asian
Black/African American
Disability
Indigenous/Two-Spirit-
/First People
LatinX
LGBTQ
Multi-Racial
White
Gender (Please indicate gender in the box below)
  • Comment:

  • 500 characters left.
3. SUBMISSION
 
Required
Please submit application. Please email a brief BIO (less than 200 words) and a headshot to nominations@actoonline.org.

Choose 'Yes' below to indicate either you have submitted the BIO and headshot, or that it will be completed once you submit this application.
Yes
No