SASTIC Board Nominee Information Name * First Name Last Name Email * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Current Position/Title Nominee’s current job title or role Relevant Experience Brief summary of relevant professional experience (max 150 words): Education Degree(s) Earned, Specialization(s), Institution(s) Skills & Expertise List key skills or areas of expertise relevant to the board position, e.g., finance, legal, governance, industry knowledge, etc Previous Board or Leadership Experience (if applicable) List previous board or leadership roles Interest in Joining the Board Brief explanation of why you are interested in joining the SASTIC board (max 100 words) Alignment with SASTIC’s Vision and Mission Explain how your experience and goals align with SASTIC’s mission to advance science, technology, and innovation in Armenia. Potential Conflicts of Interest Thank you!