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I would like to serve as an advisory panelist this year.
I can't serve as an advisory panelist this year, but keep my information on file for next year.
Mr. Ms. Mrs. Dr. Other:
Individual Characteristics: Check those that best describe you. This information is optional:
American Indian/Alaskan Native
Check the discipline(s) and the specific genre or area of expertise in which you have worked at least two years. You may select a maximum of three specific genres or areas of expertise.
Provide a brief synopsis of your experience in the selected discipline(s) in 50 words or less:
Additional Experience (Check all that apply):
Nonprofit/Public Agency Admin/Management
Nonprofit/ Public Agency Governing
Please submit a copy of your resume to Sarah Fronczek, email@example.com.
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