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2008 Board & CNLI Committee Nominations
DC METRO WASHINGTON CHAPTER, NATIONAL ASSOCIATION OF SOCIAL WORKERS
2008 NOMINATION FOR:
❏ Secretary ❏ Member at Large ❏ Member at Large ❏ Member at Large ❏ MSW Student Social Worker Representative
❏ BSW Student Social Worker Representative ❏ Member, Chapter Committee on Nominations and Leadership Identification
❏ Member, Chapter NLI ❏ Member, Chapter NLI
Describe in 200 words or less the achievements of the nominee as they relate to the
job description. Be as specific as possible. You may add attachments such as a biographical
sketch, curriculum vitae, or other materials. All attachments should contain the nominee’s
name in a prominent position. Also include a photograph of the nominee, if possible, but not essential. This
form or its facsimile must be completed to serve as a cover sheet.
Name of Nominee
_________________________________________________________________________________________________
Home Address ________________________________________________________________________________________________
City ___________________________________________State _________________________Zip_____________
Home Phone ( ) __________________________________________________Email: __________________________
City ___________________________________________ State ________________________ Zip _________________
Business Phone ( ) __________________________________Job Title _____________________________________
Narrative: (please use attachment) _________________________________________________________________________________________________
Name of person filing nomination _________________________________________________________________________________________________
Address _________________________________________________________________________________________________
City ___________________________________________ State ________________________ Zip _________________
Home Phone ( ) _______________________Business Phone ( ) _______________________________________
Signature __________________________________________________________________
Email: __________________________________________________
EARLY SUBMISSION BY January 31, 2008 assures first priority for consideration. Later submissions will be reviewed for positions which have not yet been filled by the committee. Thank you for your assistance in identifying outstanding members for chapter leadership positions.
FAX TO 202-336-8347 OR EMAIL TO: JHigashi@naswdc.org or MAIL TO: METRO WASHINGTON CHAPTER, NASW, PO BOX 75236, WASHINGTON, DC 20013-5236
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