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3. Background Highlights
Education:
Employment Experience:
Professional certificates, titles, licenses:
Previous Board Appointments Held:
Please list all scholarships, fellowships, honorary degrees, honorary society memberships, and other special recognitions for outstanding service or achievements:
Honors:
Please list the name, telephone number and e-mail address of three (3) persons who are willing to serve as references:
References:
Military Service - skip if not applicable
List rank, date and type of discharge from active service:
Discharge: Were you discharged from military service under anything less than honorable conditions?
Yes
No
If yes
, please explain:
Are you a member of the Reserves or the National Guard?
Yes
No
If yes, date obligation ends:
(example date: MM/DD/YYYY)
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Steps
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