Nomination Template

Catalyst Circle V4 - Nomination Form

Please copy this document and create a new file with your name as the title, for your nomination form

Email* (Your email)

Please personally inform Nominee of Nomination [reduces confusion]

• nominate yourself or someone else

• complete contact form for nominee

• all fields must be filled to nominate

First Name* :

Last Name* :

Nominee Email :

[this address will receive Nominee Verification message; requiring confirmation for candidacy]*

Additional Information

We require some information about the nominee's Ideascale account as well as their social account(s) as relevant

https://cardano.ideascale.com/ Handle* :

Catalyst ID :

please see this link to find your CAT_ID

Twitter Handle* :

Telegram Handle* :

Discord Handle* :