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CASE District I Board Nomination
Please use the below form to identify yourself and provide information about your nominee.
Nominator Information (person filling out this form)
Nominator Name
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First
Last
Job Title
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Institution
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Email
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Phone
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Nominee Information (person being nominated)
Nominee Name
*
First
Last
Example: Jane D. Doe
Current Job Title
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Current Institution
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Email
Phone
*
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Supporting Information
Please keep in mind that this is a highly selective process. A thoughtful, substantive, and robust statement in support of your nominee is very important in helping the nominating committee with its selections.
Please provide a personal/professional profile of this candidate with emphasis on specific skills and attributes this individual would bring to this board:
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Has this person served on other non-profit or corporate boards? If so, please provide additional comments related to this experience that would help strengthen this nomination:
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