2026 Leadership Nominations

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* 1. Nominator's Name

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* 2. Nominator's Organization

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* 3. Nominee's Name

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* 4. Nominee's Organization

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* 5. Nominee's Primary Practice Location

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* 6. Available Positions (please choose one for nomination, and there is only one position available for each of the following roles):

President-Elect (3-Year Term)

Committee Executive (2-Year Term)

Director/At-Large (3-Year Term)

Director/Southern (3-Year Term)

Director/Central (3-Year Term)

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* 7. Letter of Recommendation (please type here or upload file below)

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* 8. File Upload