Nominations Form – Distinguished Service Award Please complete the form. * indicates mandatory information. Name* Address* City* Province/Postal Code* Home Phone Work Phone Membership Years* Email* National Activities Offices Held (Including years served) Committee Chair Positions (Including years served) Committee Participation (Including years served) Local Activities (include chapter offices held or chapter committee activity) Contributions to the Goals of SVN have been demonstrated by Nominated By Email Address Please leave this field empty. Δ Coming Events CSVN General Meeting November 15, 2022 8 pm EST Join us via Zoom to find out what is coming in the future for CSVN! St. John’s 2024 Make plans to join us- we can’t wait to meet again.