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SEM Board Nomination Form

All nominations must be submitted by April 30 to be considered by the Nominating Committee at the Annual Meeting.

About the Nominee:

Name:

Company/University

Address
City
State

Zip / Postal Code
Country
Phone
Fax
Email

 

Nominee's SEM Service Contributions:

1.
2.
3.
4.
5.
6.
7.

 

Service contributions the nominee has made to other organizations:

1.

2.

3.

 

About the Nominator:

Name:

Company/University

Address

City

State

Zip / Postal Code

Country

Phone

Fax

Email

Please copy the number 6610812 into the box to the right.

 

 

 

 

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