* 1. Your name:

* 2. Your email:

* 3. The name of the individual you wish to nominate to the GHC Board of Directors:

* 4. Please provide the nominee's contact information (required):

* 5. What sector does the nominee represent?
(Please check all that apply)

* 6. Why should this nominee be elected to the GHC Board of Directors?

* 7. Please include a short bio of the nominee:
(500 words or less)

* 8. By checking this box, the nominee for the Board is expressing that they are willing and able to serve on the Board should they be selected. If you are nominating a candidate other than yourself, by checking this box you are confirming that you have spoken with the nominee and they are willing and able to serve on the Board should they be selected.

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