In order to create a diverse board, we are looking for a wide range of skills, please highlight your strengths.

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* 1. Candidate's name:

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* 2. How long have you been a member of:


Please rate your level of qualification in the following areas.


Please provide the Nomination Committee with a typed response to the following question.
(NOTE: your responses will be forwarded to the membership with the final slate of candidates)

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* 6. Why do you want to be a Director and how will you use your skills for the benefit of the Association and its Members?

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* 7. Is there any other information you'd like to provide?

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* 8. By submitting this nomination I confirm that I have read and understood the quality requirements and expectations of Directors, and believe that I possess the necessary qualifications as outlined.

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* 9. Contact information:

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