Participation Application
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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?*
2004 - 2012 GLBT Hall Of Fame Sponsored by StoneWall Society Network