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* 1. I hereby nominate

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* 2. Affiliation to Nominee

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* 3. For the Office of

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* 4. Candidate's Name

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* 5. Nominator's Name

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* 6. Candidate's Credentials 

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* 7. Candidate's Current Work Position

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* 8. Candidate's Address

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* 9. Candidate's Phone Number

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* 10. Candidate's Email

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* 11. Please provide a brief (no more than 250 words) narrative of your qualifications and experience including any involvement you may have with SVN.

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* 12. Please provide a headshot photograph to be used on the ballot.

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