CAN Community Council Membership Nomination Form
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Nominator's Name *
Nominator's Email *
Nominee's Name *
Nominee's email *
Nominee's phone number  *
Why do you think your nominee would make a good CAN Community Council member? (Please limit response to 1500 characters) *
Please list your nominee's employment, volunteer organizations, or other community activities that they are engaged in that you are aware of. (Please limit response to 1500 characters) *
What specific interests, concerns, organizations, issues, and populations do you believe your nominee can represent on the CAN Community Council? (Please limit response to 1500 characters) *
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