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Region VI Officer Nomination Form
Officer position being nominated for:
Chair-elect
Secretary-elect
Treasurer-elect
Regional Advisory Committee member
Board of Directors member
I am nominating:
Another person
Myself
Nominator:
Nominator Name:
Title:
Institution:
Email:
Nominee:
Name:
Title:
Institution:
City:
State:
Zip:
Phone:
Email:
Nominee/Nominator Statement:
Upload letters of recomendation
*Optional