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LWVUS 2015-2017 Ruth S. Shur Fellow Nomination Form

Complete the below form to nominate a League leader you know for a two-year term as an LWVUS Ruth S. Shur Fellow for 2015-2017. Self nominations are welcomed and encouraged. To be considered for a position as an LWVUS Ruth S. Shur Fellow, the nominee must currently be an active League member. Please get the nominee's consent before you place their name in nomination. THE DEADLINE TO COMPLETE THIS FORM IS Friday, September 19, 2014.
1. I Nominate:

I would like to nominate the following person for a position as National Coach on the 2015-2017 LWVUS Ruth S. Shur Fellows team: (Self nominations are welcome)
Is this a self-nomination?
2. Background Information and Experience

What League leadership position(s) has the nominee held in the past? (Please check all that apply.)
3. Special Strengths and Qualities

Please check the top 4 qualities that you consider to be the nominee's special strengths from the list below:
On a scale of 1 to 5, with 1 being the lowest and 5 being the highest, please honestly rate the nominee on each of the following traits.
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Supportive
Patient
Responsive
Flexible
Enthusiastic
Strong Communication Skills
Strong Listening Skills

4. Nominator's Contact Information

 

If you are nominating SOMEONE ELSE for a position, please complete this section by providing your contact information below. You do not need to complete section 5 of the nomination form. If you are nominating YOURSELF for a position, please skip section 4 and complete section 5 of the nomination form.

The Nominator's Information

5. Questions for the Nominee

If you are nominating YOURSELF for a position, please complete this section. If you are nominating SOMEONE ELSE for a position, you do not need to complete section 5 or 6 of the nomination form. Please review your work and click "Submit" once you have completed the form.

6. Information about References

 

If you are nominating YOURSELF for a position, please complete this section by providing your references below. Please note that 2 of your 3 references should be League references. Your third reference may be an individual from your professional or personal life. Please notify your references that you are putting them on this form and that they will be contacted by LWVUS.

If you are nominating SOMEONE ELSE for a position, you do not need to complete section 6 of the nomination form. Please review your work and click "Submit" once you have completed the form.
Please provide the following information for your first reference:
Please provide the following information for your second reference:
Please provide the following information for your third reference:

7. Submit Your Nomination

 

Please review your work and click "Submit" once you are finished completing the form.