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JPD Board Nomination Form
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Email
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Your email
Nominee Name
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Your answer
Address
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Phone Number
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Your answer
email address
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Your answer
Preferred method of contact
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Email
Phone
Submitted by: Name
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Your answer
Submitted by: Email address
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Affiliations, organizations, or Boards of Directors the candidate belongs to (e.g., membership, professional, civic).
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Candidate Statement: Please tell us why the candidate, or self, would be a valuable member of our Leadership Board. Include ways that the candidate or self, can help strengthen Utah JPD and what assets the candidate will bring to Utah JPD.
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Your answer
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