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Board Nomination Form
Robin DeGroat
2023-07-20T13:13:40-04:00
Board of Directors Nomination Form
Hudson Valley Pattern for Progress Board Nomination Form
Nominee Name
*
First
Last
*
Last
Nominee Organization
*
Nominee Title
Nominee Address
Nominee Address
Nominee Address
Nominee Address
City
City
State/Province
State/Province
12550
12550
Nominee Email
*
Nominee Telephone Number
*
Your Information
Your Name
*
First
Last
*
Last
Your Organization
*
Your Telephone Number
*
Your Email
*
Is this nominee a member of other nonprofit boards
Yes
No
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If yes please list organization(s):
*
Please tell us why you believe your nominee should join the The Pattern For Progress Board?
*
Submit Application
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