Please provide any of the following information that you can. If necessary, the Selection
Committee will refer any questions to the nominee.
A. Education (degrees earned, dates, etc.):
B. Record of Professional Experience:
C. Activities and other noteworthy pertinent accomplishments in public service (boards,
committees, consultantships, civic activities, service activities, important offices held and
other contributions to society):
D. Professional Recognitions (honors, awards, prizes, honorary degrees, etc.; give name of
institution and date):
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