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018 <br />SIGNATURE OF NOMINEE _ _ ate O con , <br />(Note: The signature is required for sel - nominations as well as for nominations made by other indivi als or <br />groups. This signature of the nominee serves as verification that the person being nominated consents to his/her <br />name being placed in nomination and indicates a commitment on the part of the nominee to participate fully in the <br />orientation and training, the legislative sessions and other activities of the Senior Tar Heel Legislature if selected). <br />Return Form to Joan Pellettier, Director, Area Agency on Aging; 4307 Emperor Blvd,. Suite <br />110, NC 27703 (919 558 - 9398) jpellettier tjcog.ory <br />