Presentation of Candidate Form

ISI - INTERNATIONAL STATISTICAL INSTITUTE

Postal address: P.O. Box 24070, 2490 AB The Hague, The Netherlands
Visitor’s address: Henri Faasdreef 312, 2492 JP The Hague, The Netherlands
Tel.: +31(0)70 337 5737, Fax: +31(0)70 386 0025, E-mail: @cbs.nl

ISI ELECTED MEMBERSHIP

Elected members are elected by virtue of their contributions to:
- the development or application of statistical methods, or
- the administration of statistical services, or
- the development and improvement of statistical education.

Membership Elections take place twice a year, in June (1^st round) and December (2^nd round), under the authority of the ISI Membership Elections Committee, whose recommendations are subject to the approval of the ISI Executive Committee.

The procedure develops along the following lines:
(1) If you would like to apply for elected membership in the ISI or nominate someone who you believe to be deserving and interested in ISI membership, please complete the “Presentation of Candidate” form below and press the "Submit Form" button.
(2) Please pay attention to the fact that candidates for elected membership must be supported by three existing elected or honorary ISI members referred to as “sponsors”. A list of ISI members can be found on the ISI website. The ISI Permanent Office will contact the three sponsors to confirm their support of the candidate.
(3) For a successful election please make sure that as much as possible information is provided about the candidate’s background. The Membership Elections Committee will assess the candidate based on the information provided.
(4) The “Presentation of Candidate” form should be submitted to the ISI Permanent Office in Word format by e-mail (@cbs.nl) or via the form below before May 15^th (1^st round deadline) or before November 8^th (2^nd round deadline).
(5) The 1^st round results will be announced in September of the same year; the 2^nd round results will be announced in February of the following year.

For further information on the application and election procedure, please feel free to contact Ms. Liliana Pinkasovych at the ISI Permanent Office (e-mail: @cbs.nl)

For the annual membership fees please see http://isi.cbs.nl/annual_fees.htm.

Please note that fields marked with an * are required

PRESENTATION OF CANDIDATE FORM


Title*
Family name/surname*
Full given names*
Informal name
Gender*	male female
Home address*
Affiliation/Work address*
Preferred mailing address (for all future correspondence)*	Home Work
Telephone*
Fax*
E-mail address*
Country of citizenship*
Date of birth* (day/month/year)
Country of birth*
Present position and year of appointment*	Since
Former positions and years of appointments*
Academic qualifications*	Degree and discipline	Awarding institution	Year awarded
Offices Held in National Societies*
Membership of International Societies*
Membership of (Inter)Governmental Commissions*
Services to Statistics in other countries or at international level*
Brief description of the candidate’s fields of statistical expertise*
Participation in the ISI Sessions/Congresses Participated in the following ISI Sessions/Congresses
Publications* The candidate’s most significant publications. Please give a list in chronological order; do not exceed ten in number. For articles: please mention the title, the name and year of the periodical. For books: please give the title, publisher and years of first and last editions. If co-authored, please indicate name of co-author.
The candidate’s most significant contributions to official statistical publications, to censuses or survey designs, to computer applications, non-academic work, etc. *
Sponsors* The following sponsors, who know personally the candidate’s work, support his/her election to the International Statistical Institute as an elected member.
	Name	Country of citizenship	Email address
Additionally, the candidate would like to become a member of the following ISI Section(s): (Please indicate ISI Section / Sections - you may select multiple options via the Ctrl or Command key)
Comments

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March 3, 2010