VLACRL Officer Nomination Form

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VLACRL Officer Nomination Form

Please use this nomination form for VLARCL Co-Chair or Secretary/Treasurer service opportunities. A candidate may be nominated for both positions, but a new form must be submitted for each officer position. Thanks for your cooperation.

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* Indicates required question

First Name: *

Your answer

Last Name: *

Your answer

Phone number: *

Your answer

E-mail: *

Your answer

Institutional Affiliation: *

Your answer

Position Title: *

Your answer

Officer position you are applying for: *

Co-Chair

Secretary/Treasurer

Please provide a short bio: *

Your answer

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