Complete this nomination form and then click the submit button at the bottom. Submitting the form results in an e-mail acknowledgement being sent to the nominee and the nominee's manager with a copy to the residency leader. Nominees must have the full approval and support of their managers before submitting this form. The more information you provide about your qualifications and experience, the greater your chances of being selected.
Nominees are typically employees of companies, organizations, or institutions. Nominees not meeting this criteria must be formally sponsored by a company, organization, or institution. A nominee employed by a self-owned company must prove in advance that it is a legally-registered business entity in its home Country.
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Please review the nomination checklist before filling out the following form.
The fields indicated with an asterisk (*) are required to complete this transaction; other fields are optional. If you do not want to provide us with the required information, please use the "Back" button on your browser to return to the previous page, or close the window or browser session that is displaying this page.
Position or Job Title*
Nominee's E-mail Address (if IBM employee, please enter EXACTLY as it appears in BluePages)*
Lotus Notes ID (for IBM employees only-Please enter full address, i.e. John Doe/Armonk/IBM@IBMUS )
British Indian Ocean Ter
Cape Verde Islands
Central African Republic
Cocos (Keeling) Islands
Congo Dem Republic
Cote dIvoire (Ivory Coast)
East Timor (Indonesia)
Falkland Islands (Malvinas)
Faroe Islands (Denmark)
French Southern Territories
Heard and McDonald Islands
Holy See (Vatican City State)
Lao Peoples Dem Republic
Micronesia Fed States of
Moldova Republic of
Norfolk Island (Australia)
Northern Mariana Islands
Palestinian Territory Occ
Papua New Guinea
Puerto Rico (USA)
Saint Helena (UK)
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent Grenadines
Sao Tome and Principe
South Georgia and Sandwich
Svalbard and Jan Mayen
Tokelau (New Zealand)
Turks and Caicos Islands
United Arab Emirates
Virgin Islands British
Virgin Islands US
Wallis and Futuna (France)
Are you employed by a government agency?*
Manager's Internet E-mail Address*
Manager's Lotus Notes ID (for IBM employees only-Please enter full address, i.e. John Doe/Armonk/IBM@IBMUS)
Relationship with IBM*
Independent solution developer
Member of educational institution
Employee of IBM
Employee of an IBM subsidiary
Type of IBMer (for IBM employees only)
IBMer in GBS Global Business Services
IBMer in GTS Integrated Technology Services
IBMer in GTS Strategic Outsourcing
IBMer in GTS Other
IBMer in Sales and Distribution
IBMer in STG System i
IBMer in STG Power
IBMer in STG System x
IBMer in STG System z
IBMer in STG Storage
IBMer in STG Other
IBMer in SWG AIM
IBMer in SWG Info Mgmt
IBMer in SWG Lotus
IBMer in SWG Rational
IBMer in SWG Tivoli
IBMer in SWG WebSphere
IBMer in SWG Other
IBMer in none of the above
IBM Contact's Name (for non-IBM employees only)
IBM Contact's Internet E-mail Address
How did you hear about this residency?*
from the IBM Redbooks website
from the Weekly Newsletter
from a colleague
from a residency leader
from a technical forum or conference
from some other source
Scale is 1 = None, 2 = Limited, 3 = Average, 4 = Good and 5 = Excellent.
Social Media Skills
Qualifications and Experience*
Previous Residency Experience
Other Pertinent Information
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