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Nomination Form for Alumni Board


Download>Printable Form (PDF)

Form    *indicates required field

Date of Submission:
 
Nominee
 
Prefix:
 
Name:
 
YDS Class Year/Degree:
 
Address:
 
Phone:
 
Fax:
 
E-Mail:
 
Denomination:
 
Race/ethnicity (optional):
Other race/ethnicity:
 
Please describe gifts/talents this person would bring to the alumnal board.
 
How has this individual demonstrated a commitment to YDS?
 

Current Employment

 
Title:
 
Institution:
 
Address:
 
Person submitting nomination
 
Prefix:
 
Name*:
 
YDS Class Year/Degree:
 
Address:
 
Phone:
 
Fax:
 
E-Mail*:
*nominator's e-mail required for successful submission