TACED Honorary & Fellow Membership Nomination Form

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Instructions: Please complete all sections of this form. The nomination will be reviewed by the TACED Nominations Committee according to the established criteria. All information provided will be treated with confidentiality.

I. NOMINEE INFORMATION

Nomination for (check one):

Honorary Membership

Fellow Membership

Full Name of Nominee:

Current Position/Title:

Organization:

Email Address:

Phone Number:

Mailing Address:

II. NOMINATOR INFORMATION

Full Name:

Relationship to Nominee:

Email Address:

Phone Number:

TACED Membership Number (if applicable):

III. QUALIFICATIONS AND ACHIEVEMENTS

Summary of Nominee's Contributions to Community and Economic Development (please provide specific examples):

Years of Experience in Relevant Field:

Notable Achievements or Awards:

Publications, Research, or Significant Projects (if applicable):

Alignment with TACED's Mission and Values:

IV. SUPPORTING DOCUMENTS

Please list all attached supporting documents (e.g., CV, publications, letters of recommendation):

Number of Recommendation Letters Attached:

V. DECLARATION

I certify that the information provided in this nomination form is accurate and truthful to the best of my knowledge.

Full Name:

Signature:

Date:

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