Board Nomination Form 2021 Nominator's First Name * Nominator's Last Name * Nominator's Email Address * Nominator's Phone Number * Reason for Nomination (Self-nominations are accepted) * Nominee's First Name * Nominee's Last Name * Spouse's Name Nominee's Email Address * Nominee's Phone Number * Marshall Class Year * Degree(s) * Address * City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip * Employment Status * Employed Self Employed Retired Employer & Current Position (if applicable) Business Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip 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. * reCAPTCHA If you are human, leave this field blank. Submit
