Emerging Scholar Board of Director Representative Nomination Form

Emerging Scholar Representative (for Students and New Professionals):

The Emerging Scholar Representative is a member of the Board of Directors, elected by SRA members, who serves as an advocate and representative for students and new professionals in the SRA. The term of office is four years, the first two years spent as the Alternate Representative, and the final two as the Emerging Scholar Representative.

Nominees for Emerging Scholar Representative must have been a member of the SRA for at least one (1) year and must be a student at the commencement of their term. Nominations for the Emerging Scholar position requires: (a) a letter of support from the nominator about the nominee’s qualifications for the position, (b) a brief statement from the nominee describing his/her/their interest and experience, and (c) the nominee’s curriculum vita. The nominee is responsible for submission of all materials due no later than February 3.

First Name *

Last Name *

Phone Number *

Email Address *

	Complete the following:
University Affiliation	Complete the following:
Department	Complete the following:
Primary Discipline	Complete the following:
Year in Graduate School	Complete the following:
Anticipated Graduation Date	Complete the following:

Race and Ethnicity (select all that apply) *

Write a statement describing your interest and experience in the position. The statement should address (1) interest in position, (2) experience and qualifications related to the position, (3) educational background, and (4) research relevance to the SRA mission. The SRA is an interdisciplinary community that fosters inclusive, innovative science to leverage policy and practice for the well-being of all adolescents. *

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Upload your current CV *

First Name of Reference/Nominator *

Last Name of Reference/Nominator *

Title *

University Affiliation *

Phone Number *

Email Address *

Upload a letter of reference / nomination letter *