Alumni Board Nomination Form

  1. Nominee Information

  2. Nominee's First Name:(*)
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  3. Nominee's Last Name:(*)
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  4. Nominee's Maiden Name (If applicable):
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  5. Nominee's Class Year:(*)
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  6. Nominee's Email Address:(*)
    Please enter an email address.
  7. Spouse's Information

  8. Spouse's First Name:
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  9. Spouse's Last Name:
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  10. Spouse's Class Year (if Albion alum):
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  11. Are you nominating yourself?(*)
    Please choose one.
  12. Nominator Information

  13. Your First Name:(*)
    Please enter your first name.
  14. Your Last Name:(*)
    Please enter your last name.
  15. Your Maiden Name (If applicable):
    Please enter your maiden name if applicable.
  16. Your Class Year (If applicable):
    Please enter your class year if applicable.
  17. Your Email Address:(*)
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  18. Address Information

  19. Street Address:(*)
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  20. City:(*)
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  21. State
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  22. Zip:(*)
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  23. Home Phone:(*)
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  24. Business Phone:
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  25. Additional Information

  26. Have you been a Board Member in the past?(*)
    Please choose one.
  27. In what year were you a Board Member?
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  28. Have you been nominated in the past?(*)
    Please choose one.
  29. Professional Information and Achievements:
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  30. Albion Involvement While Attending:
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  31. Albion Involvement Since Graduation:
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  32. Civic Involvement/Other Information/Statement of Interest:
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  33.