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* 1. Your Information:

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* 2. Information on who you'd like to nominate. You do not need to complete all the information, but it will help us if make sure we connect with the right person. 

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* 3. What position(s) are you nominating them for (ex. Board Position, Student / Early Career Position, or Committee):

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* 4. Why you think they'd be good for the position / what perspective do you think they'd bring?

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