HCR Candidate Self-Nomination Form

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HCR Candidate Self-Nomination Form

2021-2022 Officer Nominations

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* Indicates required question

First and Last Name *

Your answer

Cell phone number *

Your answer

Personal Email address *

Your answer

JCTA Email address *

Your answer

I am submitting my name to be considered for: *

HCR Chairperson

HCR Co-Chairperson

HCR Secretary

Required

Candidate Statement (up to 100 words) *

Your answer

Submit

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