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* 1. Please enter the full name of the Vivit member you are nominating for the 2019 Board of Directors election.

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* 2. Please tell us what the nominee's current roles and responsibilities are with their employer; a descriptive job title should be adequate.

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* 3. Please enter your full name (cannot be the same as the person being nominated for Election).

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* 4. Please confirm that both the nominator & nominee are:

a) Vivit members in good standing

b) not employees or executives of Micro Focus or Micro Focus owned
affiliates

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* 5. Who is the nominee's current employer?

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* 6. Please select the answer which most closely reflects the nominee's involvement with Micro Focus software.

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* 7. What is the nominee’s current affiliation with Vivit Worldwide?

1. LUG leader
2. SIG leader
3. Speaker
4. Other

        Please Specify

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* 8. Please provide a phone number (complete with country and area codes) where the nominee can be reached during EST business hours.

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* 9. Please provide the email address by which the nominee can be reached.

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* 10. Please provide the link to the nominee's LinkedIn profile.

This is requested to allow the Nominating Committee and Vivit voting members to understand why the nominee would make an excellent director.

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