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CIOCAN and Chapter/Division Board Nomination Form - 2020-2021
Address *
Address
City
State/Province
Zip/Postal
Country
Please indicate which position you are applying for (you may select more than one): *
What specific skills or competencies would you bring to the CIOCAN/Chapter/Division Board? *
Board members are expected to prepare for and attend approximately six Board meetings as well as portfolio committee meetings. Is this a commitment you are able to make? *
Please indicate from the following list which two portfolios are of most interest to you. *
Do you know a current CIOCAN Board member who we may contact to discuss your interest? *
Upload your CV here in PDF format
Maximum upload size: 52.43MB

Thank you for expressing your interest in joining the CIOCAN/Chapter/Division Board of Directors. Candidates may be invited to a meeting to discuss their expression of interest in more detail.

Please submit this form including your uploaded Curriculum Vitae no later than 8:00 pm, Friday, April 5, 2022

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