This form is for incoming EBRC Council Members to provide information to EBRC. Some of the questions may duplicate information already provided (e.g. email address). We kindly ask that you provide your preferred information again so we can update our records.
EBRC regularly uses the Google platform for document and file sharing.
Please provide a Google-linked address for access to relevant EBRC materials.
As used in publications, will be displayed on site.
As you use on a name badge
Please enter as "Department of...."
Include area code, and country code if outside the U.S.
For best results, upload a square image minimum 600x600 pixels. Otherwise, photo will be automatically cropped and resized.
Accepted file types: jpg, jpeg, png, gif.
Please identify a primary working group that you will be involved with. You are welcome to attend other working group meetings, but we understand that your “EBRC-time” is limited. Specifying one as primary will help to ensure that we have appropriately dedicated Council members across the working groups.
EBRC Application & Council Questions
These questions are for our Membership Committee and/or Internal-Use only.
EBRC collects demographic information to better understand the diversity of our community.
All questions are optional.
For definitions of the following categories, please see: https://www.opm.gov/forms/pdf_fill/sf181.pdf
For definitions, please see: https://www.opm.gov/forms/pdf_fill/sf181.pdf
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