Form

Submit nominations for Clin/Pheno Co-Lead using the form below by 30 November 2024.

Your information

Your name

Your email address

Nominee information

First name*

Last name*

Title*

Affiliation*

Email*

City*

Country (drop down)*

What is the candidate's vision for this Work Stream?*

What qualities (both professional and interpersonal) make this candidate a good fit for the role?*

In what ways does this candidate seek out, encourage, and support broad viewpoints and ideas?*

Does this candidate have the capacity to dedicate at least 15% FTE (full time effort) to this role? (Please note that FTE % may be higher in the beginning as you are onboarded into the new role, as well as during GA4GH's two annual conferences, Connect and Plenary.)*

Yes

Additional Comments

Resume or CV*