ACM LECTURER APPLICATION/NOMINATION FORM (rev. 8/94)
 
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. Email:
h. Areas of Expertise:
 
2. PROPOSED LECTURE TOPICS
 
a. Title:
   Keywords:
b. Title:
   Keywords:
c. Title:
   Keywords:
 
3. REFERENCES (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:

SEND COMPLETED NOMINATION OR APPLICATION TO:

    lectureship@acm.org
       -- or --
    Association for Computing Machinery
    attn: Lectureship Series
    1515 Broadway
    New York, NY 10036
    vox: (1)-212-869-7440    
    fax: (1)-212-944-1318