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Official Nomination Form

As an Active or Life member of the NCSRC, Inc. I have reviewed the CRITERIA FOR CANDIDATE NOMINATION and submit the members listed below for consideration as candidates. I understand that I do not need their permission and that their membership status and eligibility shall be verified in accordance with established criteria.

Once submitted this form will be routed to the Nominations Committee Chairperson (Rusty Sugg, BAS, RRT-ACCS-NPS, RCP wsugg@email.pittcc.edu).
Thank you in advance for your nominations, we will announce the elections at the NCSRC annual meeting in September. (April 3rd, 2015) IS DEADLINE FOR SUBMISSIONS.