2021 ACG Los Angeles Committee Nomination Form

Please complete the following questions. Thank you for your interest in ACG Los Angeles.

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1. Name:

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2. Company/Firm:

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3. Email:

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4. Phone:

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5. ACG Los Angeles member since:

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6. List current or prior ACG volunteer leadership roles (ACG LA or other ACG chapter):

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7. Please rank your committee preferences.

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8. Please describe why you would like to join a committee.

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9. Please share additional comments here.