Nomination Form for the Working Group on Global Workforce Development in Stem Cells and Regenerative Medicine

Nominee Name*

First NameLast Name

Nominee Email*

example@example.com

Nominee's Affiliation*

Nominee's Country of Residence*

Link to Nominee's Google Scholar, LinkedIn, Lab website, or other relevant website*

Nominee's career stage (select the best option)*

Undergraduate studentMaster's studentPhD Student/CandidatePost-Doctoral FellowOther academic research position (e.g., Research Assistant, Research Associate, Technical Staff, etc.)Industry position (e.g., Research Scientist)Clinical StaffEarly Career Academic Researcher (PI/faculty within 5 years of first independent research appointment)Other (please specify)

Attach a resume or CV for the nominee [optional]

Nominee's Gender*

Is this nominee affiliated with any stem cell organization or network?

International Society for Stem Cell ResearchStem Cell NetworkOther (please specify)

If this is a self-nomination, please provide a professional reference including contact information. (Optional)

What experiences or perspectives would this nominee bring to the activity? Why should this nominee be selected to participate?*

0/250

If the nominee is actively involved in a national or regional stem cell and regenerative medicine society or network, please describe their involvement.

0/250

Is there any additional information you would like to provide at this time?

0/250

Nomination Form for the Working Group on Global Workforce Development in Stem Cells and Regenerative Medicine

Nominator Information

Nominee Information