AIWoW Council Leadership Application

🏛 AIWoW™ COUNCIL

Council Leadership Board Application Form

Leadership appointments are merit-based and subject to structured review, credential verification, conflict-of-interest assessment, and administrative approval. Submission does not constitute appointment.

1. Personal Information

First Name and Middle Name*Last Name* Date of Birth*Nationality* Current Country of Residence*Professional Title / Designation* Organization / InstitutionContact Email* Country Calling Code*Contact Number* LinkedIn / Professional ProfileRecent Passport-Size Photograph* (JPG/JPEG/PNG, max 1 MB)

2. Professional Background

Primary Area of Expertise*

Years of Professional Experience*

5–10 Years 10–15 Years 15–20 Years 20+ Years

Brief Professional Summary*0 / 300 wordsExperience in AI Governance or Responsible AI*0 / 3000 characters

3. Alignment with AIWoW™

Why do you wish to join the AIWoW™ Council?*0 / 1200 characters

Which Board are you applying for?*

What value can you contribute to the AIWoW™ framework?*0 / 3000 characters

Have you previously implemented AI governance models?*

Yes No

4. Ethical Declaration

I hereby declare that:

I have no pending criminal convictions related to fraud, misconduct, or ethical violations. I agree to abide by the AIWoW™ Constitution and Code of Ethics. I will uphold accountability, transparency, and human-centered AI governance. I will disclose any conflict of interest if appointed.

5. References

Reference 1 *

Name*Email*Phone*Relationship*

Reference 2 (Optional)

NameEmailPhoneRelationship

6. Conflict of Interest Disclosure

Please disclose any financial, advisory, academic, or organizational affiliations that may create a conflict of interest in Council decision-making.*If none, please enter ‘None’.

7. Consent and Acknowledgement

I consent to verification of my professional credentials and background as part of the evaluation process.*

Yes No

Only Yes permits final submission.

Application Date

Attachments

CV / Resume* (PDF only, max 1 MB)Statement of Purpose (Optional but Recommended; PDF only, max 1 MB)

AIWoW™ Council Membership is merit-based and subject to structured review and approval. Attach your CV / Resume and, optionally, a Statement of Purpose.