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Alumni Affiliate Nomination Form
Nominator Details
Your Name
*
Dr.
Prof.
Mr.
Mrs.
Miss
Ms.
Mx.
Title
First
Last
Your Phone Type
*
Cell
Home
Business
Your Phone Number
*
Your Email
*
Enter Email
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Alumni Affiliate Candidate Details
Candidate Name
*
Dr.
Prof.
Mr.
Mrs.
Miss
Ms.
Mx.
Title
First
Last
Candidate Phone Type
*
Cell
Home
Business
Candidate Phone Number
*
Candidate Email
*
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Candidate Profile
*
Describe why you are nominating this candidate and how they meet the criteria (250 words).
Positions Held in the Dental Community
*
(professional, academic)
Key volunteer and community activities within the dental community
*
Previous Awards or recognition given by the dental community
Other notable achievements within the dental community
UBC connections if known
Faculty
Mentor
Emeriti
Other
Describe if "other" above.
Describe if "other" above.
Additional Endorsement
Reference Name
Dr.
Prof.
Mr.
Mrs.
Miss
Ms.
Mx.
Prefix
First
Last
Reference Phone Type
*
Cell
Home
Business
Reference Phone Number
*
Reference Email
Enter Email
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Phone
This field is for validation purposes and should be left unchanged.
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