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* 1. Please enter your contact information

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* 3. I confirm that I have read the job description posted on ippanetwork.org and understand the role and election process.

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* 4. I confirm that I have an active IPPA membership at the professional level. 

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* 5. Approximately how long have you been an IPPA member?

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* 6. Please upload your one-paragraph biography.

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* 7. Please upload your one-paragraph statement of interest.

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