A) Proposed Candidate:______________________________________________
* Candidate must be a current SAAR member
B) Please check one: Nominating Self ________ Nominating Other________
C) Your Name: __________________________________________
Your Phone Number: __________________________________________
D) Candidate’s Company: __________________________________________
Address: __________________________________________
City, State, Zip Code: __________________________________________
Direct Phone Number: __________________________________________
E-Mail Address: __________________________________________
E) DESCRIBE THE CANDIDATE’S NEED IN AS MUCH DETAIL AS POSSIBLE (Attach additional page if necessary):___________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
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Signed:_______________________________ Date:________________________
F) When completed, please call Bob Peirce at (480) 945-2651 before sending.
PLEASE FAX THIS FORM AND ATTACHMENTS TO:
Attention: Bob Peirce – SAAR CEO
FAX: 480-994-8498
