Nomination Form for the IPCC Fourth Assessment Report

# Person Nominating {#person-nominating .SectionHead}

+-----------------------------------+-----------------------------------+
| Surname/Family Name               | First/Given Name and Initials     |
|                                   |                                   |
|                                   |                                   |
+-----------------------------------+-----------------------------------+
| Country or Organization           |                                   |
|                                   |                                   |
|                                   |                                   |
+-----------------------------------+-----------------------------------+
| Telephone (including country      | Fax (including country code)      |
| code)                             |                                   |
|                                   |                                   |
|                                   |                                   |
+-----------------------------------+-----------------------------------+
| Email Address                     | Are you an IPCC Government Focal  |
|                                   | Point?                            |
|                                   |                                   |
|                                   | Yes No                            |
+-----------------------------------+-----------------------------------+

#  {#section .SectionHead}

# Person Being Nominated {#person-being-nominated .SectionHead}

+---------------------+------------+-----------------------------------+
| Surname/Family Name |            | First/Given Name and Initials     |
|                     |            |                                   |
|                     |            |                                   |
+---------------------+------------+-----------------------------------+
| Gender              | C          |                                   |
|                     | itizenship |                                   |
| Female Male         |            |                                   |
|                     |            |                                   |
+---------------------+------------+-----------------------------------+
| Postal Address      |            |                                   |
|                     |            |                                   |
|                     |            |                                   |
+---------------------+------------+-----------------------------------+
| Country:            |            |                                   |
+---------------------+------------+-----------------------------------+
| Telephone           |            | Fax (including country code)      |
| (including country  |            |                                   |
| code)               |            |                                   |
|                     |            |                                   |
|                     |            |                                   |
+---------------------+------------+-----------------------------------+
| Primary Email       |            | Secondary Email Address (only if  |
| Address             |            | necessary)                        |
|                     |            |                                   |
|                     |            |                                   |
+---------------------+------------+-----------------------------------+

#  {#section-1 .SectionHead}

# Educational Background and Expertise {#educational-background-and-expertise .SectionHead}

+----------------------------------+--------------+-------------------+
| Highest Educational Degree       |              |                   |
+----------------------------------+--------------+-------------------+
| Degree Name:                     | Subject:     |                   |
|                                  |              |                   |
+----------------------------------+--------------+-------------------+
| Institution:                     |              | Year:             |
+----------------------------------+--------------+-------------------+
| Areas of Expertise (limited to   |              |                   |
| 800 characters)                  |              |                   |
|                                  |              |                   |
|                                  |              |                   |
+----------------------------------+--------------+-------------------+
| Languages spoken well            | Languages    |                   |
|                                  | written well |                   |
|                                  |              |                   |
|                                  |              |                   |
+----------------------------------+--------------+-------------------+

#  Employment and Professional Activities of Person Nominated {#employment-and-professional-activities-of-person-nominated .SectionHead}

+----------------------------------------+-----------------------------+
| Current Employment                     |                             |
+----------------------------------------+-----------------------------+
| Employer:                              | Brief description of        |
|                                        | activities and              |
|                                        | responsibilities (limited   |
|                                        | to 350 characters):         |
|                                        |                             |
|                                        |                             |
+----------------------------------------+-----------------------------+
| Position or Job Title:                 |                             |
+----------------------------------------+-----------------------------+
| Since (year):                          |                             |
+----------------------------------------+-----------------------------+
| Sector (check one or more):            |                             |
|                                        |                             |
| Academia/Research Institution          |                             |
|                                        |                             |
| Private Sector/Industry                |                             |
|                                        |                             |
| Environmental/NGO                      |                             |
|                                        |                             |
| Other (specify):                       |                             |
+----------------------------------------+-----------------------------+
| Briefly describe [up to 5]{.underline} |                             |
| relevant professional activities       |                             |
| (include relevant employment           |                             |
| experience and professional leadership |                             |
| and communication roles) (up to 3000   |                             |
| characters)                            |                             |
|                                        |                             |
|                                        |                             |
+----------------------------------------+-----------------------------+

# Proposed Contribution to Working Group 1: The Physical Science Basis {#proposed-contribution-to-working-group-1-the-physical-science-basis .SectionHead}

Roles: CLA=Coordinating Lead Author; LA=Lead Author; CA=Contributing
Author; RE=Review Editor; ER=Expert Reviewer

  --------------------------------------------------- ----- ---- ---- ---- ----
  Chapters in WG1 AR4 (Check only roles and chapters  CLA   LA   CA   RE   ER
  that apply)                                                              

  1\. Historical Overview of Climate Change Science                        

  2\. Changes in Atmospheric Constituents and in                           
  Radiative Forcing                                                        

  3\. Observations: Surface and Atmospheric Climate                        
  Change                                                                   

  4\. Observations: Changes in Snow, Ice and Frozen                        
  Ground                                                                   

  5\. Observations: Ocean Climate Change and Sea                           
  Level                                                                    

  6\. Paleoclimate                                                         

  7\. Coupling Between Changes in the Climate System                       
  and Biogeochemistry                                                      

  8\. Climate Models and their Evaluation                                  

  9\. Understanding and Attributing Climate Change                         

  10\. Global Climate Projections                                          

  11\. Regional Climate Projections                                        
  --------------------------------------------------- ----- ---- ---- ---- ----

#  Proposed Contribution to Working Group 2: Impacts, Adaptation and Vulnerability {#proposed-contribution-to-working-group-2-impacts-adaptation-and-vulnerability .SectionHead}

Roles: CLA=Coordinating Lead Author; LA=Lead Author; CA=Contributing
Author; RE=Review Editor; ER=Expert Reviewer

  ----------------------------------------------------- ----- ---- ---- ---- ----
  Chapters in WG2 AR4 (Check only roles and chapters    CLA   LA   CA   RE   ER
  that apply)                                                                

  1\. Assessment of Observed Changes and Responses in                        
  Natural and Managed Systems                                                

  2\. New Assessment Methodologies and the                                   
  Characterisation of Future Conditions                                      

  3\. Fresh Water Resources and their Management                             

  4\. Ecosystems, their Properties, Goods and Services                       

  5\. Food, Fibre and Forest Products                                        

  6\. Coastal Systems and Low-Lying Areas                                    

  7\. Industry, Settlement, and Society                                      

  8\. Human Health                                                           

  9\. Africa                                                                 

  10\. Asia                                                                  

  11\. Australia and New Zealand                                             

  12\. Europe                                                                

  13\. Latin America                                                         

  14\. North America                                                         

  15\. Polar Regions (Arctic and Antarctic)                                  

  16\. Small Islands                                                         

  17\. Assessment of Adaptation Practices, Options,                          
  Constraints and Capacity                                                   

  18\. Inter-Relationships Between Adaptation and                            
  Mitigation                                                                 

  19\. Assessing Key Vulnerabilities and the Risk from                       
  Climate Change                                                             

  20\. Perspectives on Climate Change and                                    
  Sustainability                                                             
  ----------------------------------------------------- ----- ---- ---- ---- ----

# Proposed Contribution to Working Group 3: Mitigation of Climate Change {#proposed-contribution-to-working-group-3-mitigation-of-climate-change .SectionHead}

Roles: CLA=Coordinating Lead Author; LA=Lead Author; CA=Contributing
Author; RE=Review Editor; ER=Expert Reviewer

  ----------------------------------------------------- ----- ---- ---- ---- ----
  Chapters in WG3 AR4 (Check only roles and chapters    CLA   LA   CA   RE   ER
  that apply)                                                                

  1\. Introduction                                                           

  2\. Framing Issues                                                         

  3\. Issues Related to Mitigation in the Long-Term                          
  Context                                                                    

  4\. Energy Supply                                                          

  5\. Transport and Its Infrastructure (road, rail,                          
  aviation, shipping, including transport fuels)                             

  6\. Residential/Commercial (including services)                            

  7\. Industry                                                               

  8\. Agriculture (including land use and biological                         
  carbon sequestration)                                                      

  9\. Forestry (including land use and biological                            
  carbon sequestration)                                                      

  10\. Waste Management                                                      

  11\. Mitigation from a Cross-Sectoral Perspective                          

  12\. Sustainable Development and Mitigation                                

  13\. Policies, instruments and co-operative                                
  arrangements                                                               
  ----------------------------------------------------- ----- ---- ---- ---- ----

#  Peer-Reviewed Publications {#peer-reviewed-publications .SectionHead}

+-----------------------------------------------------------------------+
| List the full citation details of [up to 10]{.underline}              |
| peer-reviewed relevant publications (up to 3000 characters)           |
|                                                                       |
|                                                                       |
+-----------------------------------------------------------------------+

# Other Publications {#other-publications .SectionHead}

+-----------------------------------------------------------------------+
| List the full citation details of [up to 10]{.underline} other        |
| relevant publications (up to 3000 characters)                         |
|                                                                       |
|                                                                       |
+-----------------------------------------------------------------------+