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Please describe your interest in service on the licensure board and your qualifications for services (e.g. professional experience, services to professional organizations, awards, etc.). This description will be provided to the Governor as written, in addition to your name, title/affiliation, and degree information. The maximum length is 175 words. Content will be edited if maximum length is exceeded.
By typing your name above, you are signing this nomination electronically. You agree that your electronic signature is a legal equivalent of your manual agreement on this nomination.