2020 Committee Volunteer of the Year Nomination Form

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* 1. Please provide your contact details for any follow up required.

Name *

Company

Email Address *

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* 2. Nominee Name (you are welcome to nominate yourself)

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* 3. Nominee's current committee membership(s).

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* 4. Nominee's current committee leadership position(s), if any.

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* 5. Nominee's past committee membership(s), if any.

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* 6. Please provide a brief summary of work your nominee has done on behalf of the Applied Client Network community through their committee service.

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* 7. Please provide a brief statement on why your nominee should be named the 2020 Applied Client Network Committee Volunteer of the Year.