Contact information

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* 1. Please provide your contact information:

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* 2. Please provide the nominee's contact information (if different from your own):

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* 3. How old is the nominee?

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* 4. How do you know the nominee?

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* 5. Provide a brief description of the nominee’s qualifications (examples include: innovative practices they’ve brought to the company; groundbreaking ideas; committees they’ve established or taken to the next level; mastery of technology; exceptional ambition; resiliency during COVID-19, etc.) 

 

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