2018 Application for Officers/Board of Directors

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  • Part I - Personal Information



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    Answer if in an elected office.
  • All applicants must be active through December 31, 2018 to be considered for appointment.

  • Primary means of communicating with NLC.

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    Daytime phone number

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    If your preferred daytime phone number is not your cell phone.

  • If you wish to use a personal or other email to receive communications from NLC. (e.g., your Administrative Assistant)



  • The endorsement is not required, but strongly encouraged.
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