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Nomination Form--SMEMSIC Board
Email address *
Nomination Form--Director on the SMEMSIC Board
This form should be used to nominate someone, or yourself, to serve as a Director on the SMEMSIC Board of Directors. The submission deadline is January 5, 2018. Voting will be opened approximately six weeks prior to the Spring Conference. Those selected will be notified and installed on the Board at the Spring Conference, March 22-25, 2018 in Traverse City Michigan.
Choose the nominee's SMEMSIC Region *
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Nominee's Name (first, last, initial if you wish) *
Your answer
Nominee's email Address *
Your answer
Nominee's Street Address *
Your answer
Nominee's City, State, ZIP *
Your answer
Nominee's Board position of interest (more than one may be selected) *
Required
What do you, or your nominee have to offer the SMEMSIC membership? *
Your answer
Please provide a short biography of the nominee to share with the voting membership: *
Your answer
Please forward a photo to admin@smemsic.org so that we may post it with your biography to remind voters who you are: *
Required
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