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Participation Application


 

Your email address is required in the box below and again later in the form. 
The email addresses must match.

Please provide the following contact information: * indicates required field for consideration.

First Name*
Last Name*
Title
Organization
Work Phone
E-mail*
URL

I am applying for membership on the selected committee; 

Nomination and Induction Committee (Voting on each nominee required, committee membership is confidential.)
Nomination Process Committee 
Nomination Installment Committee 

I am applying for membership in the selected general participation area;

Nominations Retrieval Specialist
Nominations Archive Specialist

Tell us why you would like the position for which you have applied.*


State what you feel your qualifications are to complete the necessary duties for the position applied.*


Tell us why you will take the time to complete needed tasks in the completion of your duties.*


How long are you available to act in the capacity for which you have applied?*


If we don't honor and remember who will?

2004 - 2014 GLBT  Hall Of Fame   Sponsored by StoneWall Society Network