Alumni Board Nomination Form - Marshall University Foundation and Alumni Association

Board Member Nomination Form

Nominator's First Name(Required)

Nominator's Last Name(Required)

Nominator's Email Address(Required)

Nominator's Phone Number(Required)

Reason for Nomination (Self-nominations are accepted)(Required)

Nominee's First Name(Required)

Nominee's Last Name(Required)

Spouse's Name

Marshall Class Year(Required)

Nominee's Email Address(Required)

Nominee's Phone Number(Required)

Degree(s)(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Employment Status

Employed

Self Employed

Retired

Employer & Current Position (if applicable)

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous Years Served on MUAA Board (if applicable)

We are interested in how you serve your community, also please list any service awards you have received; considering civic groups you belong to, volunteerism and service projects you have been involved with and organizations which you are a member (please list all pertinent information to assist the nomination committee, including dates and any leadership positions held). Only a maximum of five items may be listed on the ballot. Please list in order of preference.(Required)

Tell us about your time at Marshall (activities involved in, honors/awards received during your years at Marshall, etc.)(Required)

What interests you the most about becoming a Marshall University Alumni Association board member?(Required)

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