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Nominee Information:
Last Name:
First Name:
Undergraduate Name:
Class Year:
Address (if known)
Please state why you think this person should be nominated for the Board of Directors? ( Please be as specific as possible.)
Please list contact information of people who have known the nominee in a variety of ways. Include their names, addresses, telephone numbers, and email addresses.
IMPORTANT
: Strict confidentiality is maintained throughout this nomination process. Please send as much supplemental material about your nominee as possible. A resume/curriculum vita, newspaper articles about the nominee, commendations, honors received, and any other information you have will be most helpful.
Your name:
Address:
Email address:
Daytime phone:
Evening phone:
Fax:
Date of nomination:
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