2021-2022 Board Member Nomination Form - Marshall University Alumni Association

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 *

Zip *

Employment Status *

Employed

Self Employed

Retired

Employer & Current Position (if applicable)

Business Address

City

State

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. *

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