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AHAC Nominator Form

This form is to be completed by the Nominator. Submit this form first, and then have the nominee fill out the Nominee Form. Both forms must be submitted by November 17, 2023.


If you need assistance with the AHAC Nominee or Nominator Form please email Kylie Mergen, director of Housing and Community Development, or call 785.478.8056, if you have questions.


Please Note: Employees, directors or individuals serving FHLBank's members in a voluntary capacity are not eligible to serve on the AHAC. To increase the diversity of experience on the AHAC, FHLBank is seeking nominees with community lending and economic development expertise in addition to expertise with affordable housing

Nominator Information
Nominator Organization
Nominator Address
Nominator Contact Information
Nominee Information
Association with Nominee
Describe the nominee’s experience with affordable housing and/or the nominee’s community investment experience.
Identify, in the space provided, why you are nominating this individual to the AHAC.
Select all boxes below that apply to the candidate's experience.*
Submit this completed form, the Nominee form, and the nominee’s resume no later than November 17, 2023.
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