CARLI Board Nominations

Response deadline: April 15, 2011.

	First Name	Last Name
Nominee*:

Nominee E-mail*:

Nominee Institution*:

Please provide a candidate’s statement*:

Your statement may be edited for use on the final ballot.

If you are nominating someone other than yourself, please provide your name and email address:

	First Name	Last Name
Nominator:

Nominator E-mail:

I have contacted the person nominated above and s/he has agreed to run. Yes No

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