Leadership Program Nomination Form

Thank you for nominating a candidate for the 2016 Surfrider Leadership Academy on the WA Coast. In order for the candidate to be considered, you must fill out the following nomination form completely.

Nominations are due by June 16, 2016 at midnight PST. It is highly recommended that you let the candidate know about your nomination since they will need to submit an application by June 19, 2016 at midnight PST.

Once nominated, candidates will receive a note with a link to an application to assess interest, availability, and leadership skills. Selection will be based on both nomination and application.

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1. Please fill in the following information about yourself:

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2. Please fill in the following information about the candidate:

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3. How would you rate the candidate’s leadership ability?

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4. How would you rate the candidate’s collaboration ability?

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5. What is the most important thing you would like the candidate to take away from the leadership program?

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6. What is the greatest asset that the candidate brings to the WA Coast conservation efforts?

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7. Any additional comments about the candidate?

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