Board Nomination

Nominee Information
Nominee Name:*
Prefix First Middle Last Suffix
Company:
Title:
Nominee Phone:*
Nominee Address:
Street Address Address Line 2 City State ZIP Code
Nominee Email:*
Degree:
Class Year:
Why do you recommend this nominee for consideration?*
What area of expertise would this nominee bring to the alumni board?
List of professional activities, awards, and memberships:
In what ways has the nominee actively promoted the University, its students, and its alumni?
Your Information:
Name:*
First Last
Address:
Street Address Address Line 2 City State ZIP Code
Email:*
Phone:*
In what context do you know the nominee?

Nominee Information