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1. Please provide your contact details for any follow up required. (Required.)

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2. Nominee Name (you are welcome to nominate yourself) (Required.)

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3. Nominee's current committee membership(s). (Required.)

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4. Nominee's current committee leadership position(s), if any.

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5. Nominee's past committee membership(s), if any.

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6. Please provide a brief summary of work your nominee has done on behalf of the Applied Client Network community through their committee service. (Required.)

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7. Please provide a brief statement on why your nominee should be named the 2020 Applied Client Network Committee Volunteer of the Year. (Required.)

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