Please complete this brief nomination form. You will need to complete a separate nomination form for each candidate that you are nominating. All nominations must be received by Friday, February 23, 2018 at 5 PM ET.

* 1. Please enter the name of the person you are nominating for a Board position:

* 3. Please provide any additional information (nominee's past service to SMDM, letter of support, etc.) to help the committee's deliberations:

* 4. Nominator's Name

* 5. Nominator's E-Mail Address