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Anthony Longhetti Distinguished Member
Nomination Form

Nominator Information

Name of Nominator:
CAC Membership Status:
Affiliate
Corresponding
Associate
Full
Retired
Life
   
Nominator's E-Mail Address:
Nominator's Employer (or "retired"):

Candidate Information

Name of Candidate:
CAC Membership Status:
Corresponding
Associate
Full
Retired
Life
   
Candidate Employment History (include dates)
1.
2.
3.
4.
5.
6.
   
Contributions to CAC/Criminalistics (include detailed information)
 
   
Membership in Professional Organizations:
1.
2.
3.
   
References (two people aware of candidate's qualifications):
1.
2.
(Please include contact information for all individuals listed.)

On the next page, please attach a copy of the candidate’s CV (or email it to the Awards Committee).