ClR Application

Caucus of Industry Representatives
The purpose of the Caucus of Industry Representatives (CIR) is to promote statistics and data science in the private and public sectors and to provide resources for industry statisticians and data scientists to successfully advocate for the discipline.

The members of the caucus will be statisticians and data scientists who are willing to support and advance the purpose of the caucus. This will include the leaders of statistics and data science groups as well as statisticians and data scientists who are the only statistician (or one of two or three) in their organization.
Name*

First NameLast Name
Email*
example@example.com
Current Employer*
Job Title*
The steering committee currently consists of volunteers, and will be elected positions in the future. Are you also interested in volunteering to serve on the steering committee?

General membership onlyInterested in being a part of the Steering committee
Please tell us about yourself. Please provide either your LinkedIn profile OR your resume/CV OR a brief bio.
LinkedIn profile link:
Current CV (pdf):

Cancelof
Brief Bio:
Provide a personal statement that describes your interest in becoming a member of CIR and your leadership experience.
Current Gender Identity

ManWomanNon binaryPrefer not to answerAnother option not listed here (please specify):
Race/Ethnicity

American Indian or Alaska NativeAsian or Asian AmericanBlack or African AmericanHispanic, Latino, Latina, or LatinxMiddle Eastern or Northern AfricanNative Hawaiian or Other Pacific IslanderWhitePrefer not to answerAnother option not listed here
How long have you been a member of the ASA
Are you currently a member of a chapter(s)

YesNoNot currently but have been in the past
Are you currently a member of a section(s)

YesNoNot currently but have been in the past
We welcome any comments you would like to share with the committee.
Comments for the committee
Thank you!
Should be Empty:

Caucus of Industry Representatives