Branch Nomination Form

Please use this form to submit nominations for all open Branch positions. Ballots will be available online during the 2021 Branch Elections. Carefully read all instructions and proof your form before submitting. Incomplete submissions will not be accepted. 

The deadline for candidate nominations is Tuesday, December 1, 2020. 

Biographical sketch of no more than 250 words to include the nominee's name, education, employment, area(s) of interest and accomplishments in entomology, and leadership roles (including record of service to ESA). Please note: Any bios which exceed 250 words will not be accepted.
Headshots are preferred.
Files must be less than 16 MB.
Allowed file types: jpg jpeg png.
By signing this document, I certify that, to the best of my knowledge, the above response and all information provided by me related to this Professional Conduct Disclosure Form are truthful, accurate, and complete, and I agree to notify ESA promptly of any material changes required in my responses to the below question. I acknowledge the nominee’s failure to comply with ESA’s policies may result in their ineligibility to receive, or revocation of, any ESA award, honor, other type of ESA recognition, or governance position, and is grounds for potential sanctions against them. Has the nominee been the subject of a filed allegation, complaint, investigation, sanction or other legal, civil or institutional proceeding, where there was a finding of misconduct; or, are they currently the subject of such an allegation, complaint, or investigation in which your professional conduct is at issue?
Disclaimer
All nominees will receive an email confirming their nomination. The confirmation email will also contain a link for them to complete the Professional Conduct Disclosure. Nominee's failure to complete the Professional Conduct Disclosure will result in their names being withheld from the election ballot. If you are nominating yourself for a position, you will be required to complete the form provided in your nominee notification email.