PACIFIC COUNCIL ADVISORY BODY NOMINATION FORM

PACIFIC COUNCIL ADVISORY BODY NOMINATION FORM

The Council is requesting nominations for remaining vacancies for the 2022-2024 Advisory Body term. To ensure consideration, nominations should be received no later than 5 p.m. Tuesday, January 31, 2023.
Nominee: *

Prefix First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone *

Area Code Phone Number
Email *
example@example.com
Position *
Nominated by: (Self or Fill In the name of the individual or organization making the nomination) *

Self
Summary of pertinent experience or qualifications- :(e.g., commercial, recreational, or tribal fishing or processing experience, scientific expertise, membership in conservation organizations, public service, fishery consumer experience etc.) You may type your summary here or attach a file below *
Cirriculum Vitae and STATEMENT OF FINANCIAL INTERESTS (NOAA Form 88-195) REQUIRED FOR SCIENTIFIC AND STATISTICAL COMMITTEE NOMINATIONS
Attach additional files (Curriculum Vitae (CV), Statement of Financial Interests, Bios, Summary of Experience, etc.):

Browse Files
Please note, all materials need to be attached when this form is submitted, they cannot be added at a later time. However, letters of support may also be submitted for the next Council Meeting via the Council's Public Comment E-Portal which will open approximately three weeks before the Council meeting begins. Cancel of
Curriculum vitae (CV) Required for Scientific and Statistical Committee Nominations, Optional for all others; Please confirm one of the following: *

CV attached This is not a Scientific and Statistical Committee nomination and I am not submitting a CV
Statement of Financial Interests NOAA is only required for Scientific and Statistical Committee Nominations; Please confirm one of the following: *

Statement of Financial Interests (NOAA Form 88-195) is attached This is not a Scientific and Statistical Committee nomination
Signature - Do your best with your mouse or touchscreen. *

You may not edit your nomination after you submit. If you wish to make changes, please contact Mr. Kelly Ames (Kelly.L.Ames@noaa.gov or 503-820-2417) Clear
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