Form – PSC – Self Nomination

Policy Strategy Committee Self Nomination Form

We’re excited that you’re interested in joining FamTech.org’s inaugural Policy Strategy Committee (PSC). This nomination form is your opportunity to tell us more about your background, policy interests, and alignment with our mission. Your voice will help shape how FamTech.org engages in national Care Economy policy conversations.

First name

Last name

Company name

Company role

Where are you based?

Are you currently a paying FamTech.org member at an organization with at least three employees?

Yes No

Which committee are you nominating yourself for?

What experiences or perspectives do you bring that would be valuable to the PSC?

Please briefly describe your work or lived experience in the Care Economy, technology, policy, or advocacy.

What policy topics or questions are you most passionate about advancing within the PSC?

Have you previously participated in an advisory board, working group, or coalition effort?

Yes No

Briefly describe your previous involvement.

In a few words, what excites you about helping shape FamTech.org's approach to policy?

Are you able to commit to quarterly virtual meetings and asynchronous contributions throughout the year?

Yes No

Any anticipated conflicts or periods of unavailability?

Please confirm the following before submitting:

I confirm that I have reviewed the Policy Strategy Committee Member Expectations & Selection Values, and am prepared to contribute meaningfully if selected. I understand that this is a volunteer leadership opportunity.