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EBC Board of Directors Nomination Form
* Required question
Nominee's Name - please include middle initial
*
First
Last
Company
*
Title
*
Email Address
*
Phone
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Visit the online EBC Member Directory for a current list of EBC Member companies: http://ebcne.org/ebcne-member-directory/
Does the nominee work for an EBC Member company?
*
Yes
No
Unsure
Summary of Nominee’s Attributes and Qualifications for Board Membership
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Nominee’s Technical Practice Disciplines
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Nominee's Likely Committee and/or Chapter Involvement
*
Climate Change and Air Committee
Dam Management Committee
Energy Resources Committee
Infrastructure Committee
Ocean & Coastal Resources Committee
Site Remediation & Redevelopment Committee
PCB/TSCA Subcommittee
Solid Waste Management Committee
Construction & Demolition Materials Management Subcommittee
Water Resources Committee
Connecticut Chapter
New Hampshire Chapter
Rhode Island Chapter
Sponsoring Board Member e-Signature
*
First
Middle
Last
Co-Sponsoring Board Member e-Signature (a second signature is required)
*
First
Middle
Last