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Nomination to Board of Directors 2021

1.Nominee Information

Name

Title

Organization

Address

City

State

Email Address

Phone Number

2.Nominator Information

Name

Title

Organization

Address

City

State

Email Address

Phone Number

3.Reference (For self-nominees only)

Name

Title

Organization

Address

City

State

Email Address

Phone Number

Nominations must be received by Monday, September 20, 2021. In addition to completing this form, please submit a nominating letter, which presents the nominee’s defining characteristics, summarizes the nominee’s contribution to health philanthropy, and describes why the nominee would be a good addition to the GIH board, to nominations@gih.org.

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