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For additional information on this program, including examples of "demonstrated performance,"
please refer to the nomination instructions.

Senior Member nominations are accepted throughout the year and are reviewed on a
quarterly basis by the Senior Member Committee. The deadline for the current cycle
is December 03, 2023.

All information will be kept confidential within the Senior Member Committee.
 
   Candidate
 
  First (Given Name)
  Middle (optional)
  Last (Family Name)
  Certificate Name
Should you be accepted as a Senior Member, please indicate how you would like your name to appear on the certificate
  Email
  Phone
  Fax
  Present Occupation
  Organization
  Organization Type
  Birth Date (mm/dd/yyyy)
  Gender Prefer not to say
Female  
Male  
Non-Binary  
Prefer to Self-Describe

  ACM Member No.
  --or--
  Username
 
   Business Address
 
  Street (up to 70 characters are allowed for each line)
  City
  State/Province
  Zip/Postal
  Country/Region
 
   Home Address
    Same as Above
 
  Street (up to 70 characters are allowed for each line)
  City
  State/Province
  Zip/Postal
  Country/Region
 
   Accomplishments (4,000 characters or less, including spaces)
 
 
 
   Education (List Highest Degree First)
 
    Educational Institution Location Year (yyyy) Degree Major Discipline
  1
  2
  3
 
   Education: If necessary, enter information to further explain the Candidate's education. (1,000 characters or less, including spaces)
 
 
 
   Professional Experience: List current position first.
  (If currently employed, please enter the current year as "End Year".)
 
    Start Year (yyyy) End Year (yyyy) Name of Organization Position Held
  1
  2
  3
 
   Summary of Professional Experience (1,500 characters or less, including spaces)
 
 
 
  Select Technical Area Categories
    Please check all that apply to the Candidate's body of work 		   Candidate's CV
    Please attach file with Candidate's CV (only PDF format will be accepted)
 
 
Algorithms
Artificial Intelligence
Biotech
Complexity
Computation
Computational Geometry
Computer Architecture
Cryptography
Data Mining
Databases
Design Automation
Education
Embedded Systems
Graphics
High Performance Computing
Human Computer Interaction
IT
Information Retrieval
Knowledge Management
Language Processing
Measurement
Mobile Computing
Modeling
Multimedia
Networking
Operating Systems
Programming Languages
Robotics
Search
Security
Software Engineering
Spatial Information
Virtual Reality
Vision
Web
Wireless Systems
 
 
I understand that ACM will investigate and verify the educational and employment data provided in this nomination. I authorize investigation of all statements contained in this nomination. I understand that misrepresentation or omission of facts contained herein will cause the nomination to be rejected.