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Board of Directors Nomination Form

This form can be used by anyone to nominate individuals to serve on the ABC, Inc. board. Please return the completed form to the ABC, Inc. Board Development Committee.  

NOMINEE:  ___________________________________________
Employer and Title: ____________________________________________________  
Address: _____________________________________________
City: ____________________________State:_____Zip:________
Phone: (W) (_____)________________ (H) (_____)_____________  
Recommendation for: q Board  q Committee: ___________________

Describe skills and talents of the nominee:



To your knowledge, what access to resources does this nominee possess?



Why are you recommending this person?



Nominator:_____________________________       Date:_______________
Source: Management Cornerstones, Inc. Milwaukee, WI

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Revised: October 5, 2015