First Name *

Last Name *

Title/Position

Organization Name

Email *

Phone *

LinkedIn URL

Stakeholder Group *

Committee Selection *

Areas of Expertise

Years of Experience

“Please enter the number of years you have worked in your primary field, industry segment, or stakeholder category.”

Statement of Interest

Resume Upload

“Upload a recent resume, CV, or professional bio summarizing your experience, credentials, and current role. PDF preferred.”

I acknowledge that advisory roles are volunteer positions.

Acknowledged

I agree to comply with ANSI-aligned NEMTAC standards development policies.

Acknowledged

I consent to my name being listed publicly as a committee/workgroup member.

Acknowledged

Commitment Acknowledgment (3-Year Term)

Acknowledged