2026 ICBR and CREA Board Positions & Volunteer Submission Form

Candidate Information

Please provide the contact information for the candidate:

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* 1. Name (first and last):

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* 2. Company Name:

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* 3. Email Address:

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* 4. City:

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* 5. Phone Number:

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* 6. Please check one:

I am the candidate.

I am not the candidate. I have contacted the nominee and know they are willing to serve.

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* 7. If this form is submitted by someone other than the candidate, please provide your name and email address:

Name

Email Address