ACM LECTURESHIP SERIES

ACM LECTURER APPLICATION/NOMINATION FORM (rev. 12/95)

SUMMARY: Lecturers for the ACM Lectureship Series are selected on a competitive basis. Inclusion is restricted to voting members of the Association. Complete applications or nomination must include (1) a completed lecturer application form, (2) a current resume or curriculum vitae, (3) three letters of reference and (4) a color passport-sized photo. Additional supporting documentation may be attached on separate sheets. Prior to completing this form, please review current Lectureship Series Guide available through ACM HQ or via the Internet through WWW, Gopher and anonymous ftp access through ACM.ORG (under "local activities/lectureship" subdirectory).

1. LECTURER INFORMATION:


 a. Name of lecturer candidate:
    

 b. ACM Membership Number:
    

 c. Title:
    
 
 d. Affiliation (company, university, government agency, etc.:
    
    
 e. Address:
    

 f. Phone:
    

 g. E-mail:
    

 h. Areas of Expertise:

2. PROPOSED LECTURE TOPICS


 a. Title:    
    Keywords: 

 b. Title:    
    Keywords: 

 c. Title:    
    Keywords:

3. REFRENCES


(must be able to write on the qualifications required of
an ACM Lecturer).  Provide name and either e-mail or mailing
address.  Actual letters may be submitted separately.
 
 Reference 1:
 
 Reference 2: 
 
 Reference 3:

4. CONTACT INFORMATION



 Recommended by:    
 ACM Member Number: 
 Address:
                    
 vox:               
 fax:               
 Email:             
 Date:
Association for Computing Machinery Lectureship Series
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