Download the Microsoft Word Version [DOCX 18KB] to complete the form.
****Sample of the Microsoft Word Version****
|Organization or Affiliation|
Statement of Interest: Please describe why the nominee wants to serve on the NFAC and the unique perspectives and experiences the nominee brings to the NFAC (250 word limit).
Résumé: Please provide a résumé describing professional and academic expertise, experience, and knowledge, including any relevant experience serving on advisory committees, past and present (3 page limit).
All nominations should be emailed with the subject line 2013 NFAC Nomination to email@example.com. Non-electronic submissions must follow the same format and contain the same information and be faxed to the attention of Shira Bergstein at (202) 366-0263 or mailed to:
U.S. Department of Transportation
Office of the Secretary
Office of Policy
1200 New Jersey Avenue SE
Washington, DC 20590
The Department is not responsible for any technical difficulties submitting a nomination form. Incomplete nominations will not be considered. All nomination materials must be received by midnight E.D.T. on March 21, 2013.