Board Nomination Form Submitted By * First Name Last Name Date * MM DD YYYY Nominee's Name * First Name Last Name Nominee's Employer * Nominee's Position/Title Nominee's Phone (###) ### #### Nominee's Email * Please Check Areas of Expertise Advocacy Corporate/Community Contacts Fundraising Legal Advice/Counsel Legislative Contacts Medical Expert Public Policy Public Speaking Special Event Planning Strategic Planning Survivor of Abuse Past Program Participant Describe the attributes and experiences that will make your nominee an asset to the NTN board? * What professional experience, current or past, will this person bring to the board? Additional information or comments: Thank you!
