board form test v1

Name(Required)

Your first name... Your last name...

Your Firm(Required)

Email(Required)

Name of Nominee(Required)

Their first name... Their last name...

Position/Title(Required)

Firm(Required)

Years in Position(Required)

Years in Industry(Required)

Why you are sponsoring this nominee:(Required)

If appropriate, please include an example of the nominee’s service to The Council or the insurance industry.

Would you like to submit another nomination?(Required)

Yes

No

Information for second nominee