ABOUT THE 30% CLUB MEMBER:
Your Name
Your Company
Your Position
Your Email
Your Experience (either current or former). Select all that apply:
Board director for-profit organization.Board director for a non for-profit organization.Advisory Board member for for-profit or non-for-profit organization.Founder/CEOC-level executive or VP-level executive.Other.

ABOUT THE CANDIDATE
Name

Company
Position
Email
What type of role are you recommending the candidate for?
---ExecutiveBoard
Why do you recommend the candidate? In few sentences, explain why you feel she is a good candidate for the role.

How do you know the candidate? Select the option best applies:
Former Board colleague.I was her direct manager.She was my manager.Former job colleague.Schoolmates.Social introduction.Other

Nivel de Patrocinio
050100

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