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MDPTC EC Nominations

Please fill out and submit this form to nominate your chosen candidate for the IoPP Medical Device Packaging Technical Committee Executive Committee.

Your Information:

Your Name: *

Your Title: *

Your Company: *

Your E-Mail: *

Your Phone Number: *

Nominee Information: (n/a if self nomination)

Nominee's Name:

Nominee's Title:

Nominee's Company:

Nominee's Email:

Nominee's Phone Number:

Nominee's LinkedIn Profile:

I certify that I have the permission of the nominee to submit his/her name for consideration.

Yes

Clear Selection

Desired Officer role for nominee: *

Is the nominee currently an IoPP Member (note: MDPTC members and board members are required to be IoPP Members)? *

Yes

Unsure

Clear Selection

What skills, attributes, etc... will the nominee bring to this role? *

What would the nominee like to accomplish during their term as an MDPTC Officer in supporting the work and mission of the MDPTC? *

Nominee's passion in Medical Device Packaging (how is the nominee active in the community)? *

Type of role nominee works in: *

Fields marked with * are required.

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