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HORT Board of Directors Nomination Form

Due to a computer glitch, we may not have received your previous submission. If you submitted prior to May 1, please resubmit today. We will review and be in touch with you very shortly. We apologize for any inconvenience.

Applications are open until May 15, 2024.

Nominee's Name

First Name

Last Name

Nominee's email

Nominee's phone

(###)

###

####

Is this a self-nomination? (If you are nominating someone other than yourself, please be sure you have their consent.)

Yes

No

If no, provide your name

Email

Phone

(###)

###

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Your relationship to nominee

Is Nominee a Current CHS Hort Member

Nominee current occupation

Nominee Company/Organization

Please share any relevant professional and volunteer experience, including current and former board service

What could this individual bring the CHS Board?

Is there anyone else the nomination committee could talk to about this individual?

If yes, please provide Name

First Name

Last Name

If yes, please provide email

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