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Send some AcknowledgeMINT

Thanks for nominating a colleague. The WELL Committee will be distributing all acknowledgements received M-Th on Friday of the same week. Those received after Thursday will be rolled into the next week.

Nominating Individual:

Check this box if you would like to remain anonymous

*First Name:

*Last Name:

*Extension:

*Email:

Nominee Information:

*First Name:

*Last Name:

*Department:

*Office Location:

*Extension:

*Phone Number:

*Reason for AcknowledgeMINT:

Security Password (Please type the word ):
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