Please complete this brief nomination form. You will need to complete a separate nomination form for each candidate that you are nominating. All nominations must be received by Sunday, 20 February 2022 at 5 PM ET.
Please provide the following information about the person you are nominating:

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* 1. Full Name:

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* 2. Country:

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* 3. E-Mail Address:

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* 4. I am nominating myself

If no, please provide your contact information:

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* 5. Full Name:

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* 6. E-Mail Address:

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* 7. Please indicate the position for which you are nominating this person (must check at least 1 of the 4):

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* 8. We ask that each nominator verify that the nominee is willing to be considered for inclusion on the slate of candidates for the selected positions above and willing to serve if elected. Please confirm the nominee is willing.

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* 9. Please indicate if the nominee is willing to serve in any position if elected:

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* 10. Please include information about the nominee’s past service and involvement with SMDM and other related professional groups, and why the nominee would be a positive addition to the SMDM Board.

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* 11. Please provide a short biography or link to website for the nominee below:

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