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* 1. Your Name

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* 2. Your Organization

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* 3. Your Job Title

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* 4. Your Email

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* 5. Please briefly list any relevant ALA activities. Please note that if selected for nomination, you will have the opportunity to provide a more detailed biography for wider distribution:

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* 6. Please briefly describe any relevant information you would like the Committee on Committees to consider regarding your nomination.  Please note that if selected for nomination, you will have the opportunity to provide a more detailed biography for wider distribution:

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