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SETAC North America Student Advisory Council (NASAC)Student Nomination Form for the 2012-2013 Vice Chair and 2013-2014 Chair of the SETAC North America Student Advisory Council and Student Representative to the SETAC North America Board of Directors

This position requires 2 years of service to NASAC and the SETAC Board of Directors - the first year (2012-2013) as Vice Chair and the second year (2013-2014) as Chair. Only students from North America will be considered for the position.

Only complete applications will be considered

Application deadline: October 12, 2012

* 1. Personal Information

* 2. Student Information

* 3. SETAC Membership Information

* 4. Are you a member of a SETAC North America Regional Chapter?

* 5. If yes, which Regional Chapter do you belong to?

* 6. Please describe your involvement in SETAC North America (e.g., on a national level, participation on committees, etc.) and/or SETAC North America Regional Chapter activities.

* 7. Please describe your interest in serving as the SETAC North America Student Advisory Council (NASAC) Chair as well as on the SETAC North America Board of Directors.

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