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NOMINEE INFORMATION

Nominee Name:*
Is the nominee aware of the nomination?

NOMINATOR INFORMATION

Nominator Name:*
, hereby acknowledge that all information provided in this nomination form is true and honest to the best of my knowledge. I affirm my responsibility for the accuracy of the details presented herein.
Clear Signature
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INNOVATION DEMONSTRATIONS

Please answer each question in a detailed format below. Additional documentation can be attached for consideration. Please remember that the committee will evaluate the nominee’s qualifications and work based only on the information provided below and attached.
IMPORTANT: Information provided below should be unclassified. Information provided is for internal ATS use only and will not be published for outside consumption. Discuss any questions or concerns with your management.

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