Name:
Position/Organization:
Address:
City, State, Zip:
Phone:
Email:
Does the person know you are nominating them?
Significant reason for nominating this person: (outstanding achievements, contributions, etc.)
Professional History: (Recent positions, background, leadership, and areas
of interest)
Other Background: (Education, affiliations, publications, speeches, etc.)
Mail to: AEOE State Coordinating Secretary, Stephen “Hoppy” Hopkins:
PO Box 1421, Pollock Pines, CA 95726
or call: 530-644-3487;
or e-mail: hoppy49@comcast.net
• • • • Deadline is
March 1 • • • •