NOMINATION APPLICATION for
2008 STATE COUNCIL OFFICER ELECTION
STATE COUNCIL OFFICE YOU ARE
APPLYING FOR:
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NAME: _____________________________________________________
CREDENTIALS: ______________________________________________
WORK TITLE: _______________________________________________
PLACE of EMPLOYMENT: _______________________________________
HOME ADDRESS: _____________________________________________
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PHONE: ____________________ E-MAIL: ________________________________
ENA EXPERIENCE (please limit this
to 8 items):
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In 50-75 words, please write a statement on what you feel the goals that Mass ENA should focus on for 2008:
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Please return this application to Faye Everson at