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Nomination Form

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Prospect’s Name:  
Biographical Information
Date of Birth (estimate if unknown):  
Business name:   
Business address:

Business phone:

Business fax:

Business email:

Home address:

Home phone:

Home fax:

Home email:

Professional, academic, or business affiliations (attach c.v if available):

Rational/Reason for Recommending This Candidate
Interest in the oceans (explain):
Skills to contribute to WHOI:
Financial contribution potential:
How will this candidate enhance the stature of the governing boards? Does the candidate have prior board experience?
Special considerations (diversity, academic background, nationality, etc.):
Does the candidate know about WHOI and/or show interest in being a Corporation Member or Trustee? Has the candidate visited WHOI?
Do you know this candidate? What other WHOI Corporation Members or Trustees might?
Nominator's email: