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Recommendation Form
Please select one of the following for which the candidate is being considered (*)





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Nominees Name (*)

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Nominees Address (*)

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Nominees Phone Number (*)

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Email Address (*)

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Briefly describe what qualifies this candidate for the award or appointment or the elective office (*)

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Your name title and affiliation (*)

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Your Phone Number (*)

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Your Email Address (*)

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Attach the Nominees CV or Resume

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Verification Image
Verification Image

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SUBMIT


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