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LA 43 Candidate Nomination
Please complete this form to nominate individuals for LA 43. You may nominate up to five people with this form. Thank you!
OK
1.
Your name
2.
Your email address
3.
Your LA class number
4.
Can we use your name when communicating with your nominee(s)?
Yes
No
5.
Nominee one
Name of nominee
Their email address
Their employer
Why are you nominating this person for LA?
6.
Nominee two
Name of nominee
Their email address
Their employer
Why are you nominating this person for LA?
7.
Nominee three
Name of nominee
Their email address
Their employer
Why are you nominating this person for LA?
8.
Nominee four
Name of nominee
Their email address
Their employer
Why are you nominating this person for LA?
9.
Nominee five
Name of nominee
Their email address
Their employer
Why are you nominating this person for LA?
Current Progress,
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