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*Name
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If not yourself, please add your ASA Member ID:
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*Your
email address
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Location |
*City
*State
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*Highest Academic Degree |
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*Professional
affiliation |
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*Select best committee match from list below:
To indicate more
than one committee, hold down "Control" key and click on multiple committee
names
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Please indicate experience relevant to the committee or any other comments about why you would
like to serve or in support of the person you recommend:
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* indicates a required field |