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  • Nomination Form 2012 - Minnesota

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    Lars Leafblad
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    All professional and community leaders as well as MMF alumni are eligible to nominate. Nominators should be in a position senior to the candidate. Candidates may not self-nominate.

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    All professional and community leaders as well as MMF alumni are eligible to nominate. Nominators should be in a position senior to the candidate. Candidates may not self-nominate.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    66 views1 page

    Nomination Form 2012 - Minnesota

    Uploaded by

    Lars Leafblad
    All professional and community leaders as well as MMF alumni are eligible to nominate. Nominators should be in a position senior to the candidate. Candidates may not self-nominate.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Marshall Memorial Fellowship

    Nomination Form
    Please send completed forms to: Sean Kershaw, Citizens League
    skershaw@citizensleague.org,
    651 293
    0575 x14, fax: 651 293 0576
    THE Gphone:
    ERMAN
    MARS
    Candidate Name:

    Age:

    ________

    Title: _____________________________________________________ Employer: ___________________________________________________


    Address: ________________________________________________________________________________________________________________
    Work Phone: __________________________

    Home Phone: __________________________

    Preferred email: _____ ____________________________________

    Cell Phone: ___________________________

    Alternate email: ____________________________________________

    Please describe how the candidate is an emerging professional and community leader and how he/she will both contribute to and
    benefit from the Marshall Memorial Fellowship program experience and alumni network.

    All professional and community leaders as well as MMF alumni are eligible to nominate. Nominators should be in a position senior to the candidate and able
    to evaluate the candidate's leadership potential. Candidate family members, MMF selection partners, current MMF selection committee members, and GMF
    staff may not serve as nominators. Candidates may not self-nominate. Please note that nominators should only nominate one candidate each year, may not also
    submit a letter of recommendation for the candidate, and should not apply in the same year.
    Nominator Name:

    __________________________________________

    Employer: _______________________________________

    Title: ____________________________________________________

    Phone: _____________________

    Email: _________________________________

    By my signature below I certify that, to the best of my knowledge, the information provided on this form is accurate and complete.

    __________________________________________
    Signature

    ____________________________
    Date

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