Committee Nominations IPEG Committee General Nomination Form Note: IPEG members interested in becomming a committee member must meet the following requirements Be a current IPEG member Congress participation (within the last 3 years) Agree to attend and participate in committee meetings/calls. A minimum of 60% attendance is required. Each committee requires a 3 year commitmentName of Applicant* First Last Email of Applicant* Phone of Applicant(may be used for Whatsapp group committee communications)Are you a current IPEG member?* Yes No How many years have you been an IPEG member?* 1-2 3-5 6+ To be eligible for the Publications Committee, you must have finished a 3-year term with another committee.First Choice*-Please select committee name-Business StrategiesCalendar of ContentEducationNew Innovative SpacesPublicationsResearchSimulation & TrainingYoung Surgeons CommitteePlease choose the committee you are interested in participating in. Note: Publication may require additional recommendations.Briefly describe why you’d like to join this committee and any experience relevant to the committee you are interested in joining*To be eligible for the Publications Committee, you must have finished a 3-year term with another committee. Second Choice*-Please select committee name-Business StrategiesCalendar of ContentEducationNew Innovative SpacesProgram CommitteePublicationsResearchSimulation & TrainingYoung Surgeons CommitteeNonePlease choose the committee you are interested in participating in. Note: Publication and Program committees may require additional recommendations.Briefly describe why you’d like to join this committee and any experience relevant to the committee you are interested in joining*By submitting this form, you acknowledge the requirements associated with committee membership.