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ALF Nomination Form for
Fellows Program

Questions marked with an asterisk (*) are mandatory.

* ALF chapter
* Name of nominee
Title
Company/organization
Address
Telephone
Email
Please comment on the ALF Fellow candidate's commitment level
 High  Medium  Low
 
Please comment on the ALF Fellow candidate's influence level
 High  Medium  Low
 
Candidate's evidence of demonstrated leadership
Candidate's professional strengths
Noteworthy examples of candidate's community-related accomplishments include
OPTIONAL--For the diversity matrix, note ethnic background
Gender
 Male
 Female
Nominee's area of interest or affiliation
* Your name
Are you an ALF Senior Fellow?
 Yes  No
 
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