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* 1. Nominator's Name (Yours):

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* 2. Nominee's Full Name:

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* 3. Nominee's Professional Information:

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* 4. Nominee Reports to:

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* 5. Nominee Contact Information:

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* 8. Answer Only If Your Nominee is For-Profit (Public and Private) Businesses and Hospital Systems:

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* 9. Answer Only if your Nominee is Not-For-Profit:

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* 10. Why do you recommend this person for membership in CWEF?

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* 11. Nominee's Personal Information (Optional): AGE

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* 12. Nominee's Personal Information (Optional): Ethnicity

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* 13. List current and past corporate and non-profit boards and civic involvement (including offices held).

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* 14. List awards and recognition they have received.

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* 15. List hobbies or personal interests.

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* 16. Anything else you would like to share.

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* 17. PLEASE INCLUDE THEIR CURRICULAVITAE OR PERSONAL BIO WITH YOUR APPLICATION SUBMISSION. You may copy the information into the section below or email admin@mycwef.com:
**I can’t get this without telling her what I’m doing. Here’s a link to her company profile:

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* 18. Privacy Policy:

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