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ALF Nomination Form for
Fellows Program


If you discuss this nomination with the nominee, please make sure they understand there is no guarantee that they will be selected.  With over 300 nominees, less than 10% will receive an invitation to be one of the 24-27 participants in the program.  Nominations are kept on file for three years.

Questions marked with an asterisk (*) are mandatory.


* Your name
* Name of nominee
* Title
* Company/organization
Have you spoken with this nominee about the ALF program and tuition costs ($13,500, some scholarship assistance is available) and, if so, do you feel confident the nominee would likely accept an invitation if offered?
* How is this person a proven leader committed to the public good, display personal integrity, and work collaboratively? What skills and/or passions would this person bring to the ALF network?
* Diversity
 African American  American Indian
 Asian/Pacific Islander  Caucasian
 Latino/a  Middle Eastern
 Gay/Lesbian/Bisexual/Transgendered (GLBT)  Other
* Gender
 Male  Female
* Professional Field (choose all that apply)
 Community Activist or Representative
 Elected Official
 Public Safety
 Small Business
* County where nominee does majority of community work

American Leadership Forum - Mountain Valley Chapter
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