Please note, there is no autosave if you leave this page before clicking "Submit".

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* 1. What is the name of the suggested candidate?

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* 2. What is the nominees's degree? (optional)

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* 3. Are you self-nominating?

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* 4. What is your name, and email address?

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Image

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* 6. Which position(s) do you wish to nominate the individual for?

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* 7. Comments:

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* 8. You may upload a CV/ Resume of the nominee. (optional)

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Clicking "Submit" will send your nomination to ATS. You may submit more nominations after submitting the current nomination. Please email Tai Zahir at tzahir@thoracic.org with any questions.

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