MUAA Board Nominations

Nominated by (Name)(Required)

First Last

Email Address of Nominator(Required)

Nominee Name(Required)

Prefix First Last

Nominee Address(Required)

Street Address Address Line 2 City State ZIP Code

Nominee Cell Phone(Required)

Nominee Email Address(Required)

Nominee Employer or Business(Required)

Employer/Business Address(Required)

Street Address Address Line 2 City State ZIP Code

Employer/Business Phone(Required)

Employer/Business Email(Required)

Preferred Mailing Address

Home

Business

Has the nominee served on the Alumni Board in the past?

Yes

Years Served

Has the nominee served on other Methodist University boards in the past?

Yes

Which board(s)?

Specific strengths/talents nominee would bring to the board:

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Phone

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