BYU Alumni Association - Board Member Nomination Form

Alumni Board Nomination Form

Alumni board

Name of Nominee

First Name

Middle Name:

Last Name

Maiden Name:

Mailing Address 1:

Mailing Address 2:

Mailing Address City:

Mailing Address State:

Mailing Address Zip:

Home Phone Number:

Work Phone Number:

Cell Phone Number:

Spouse's Full Name

Position: (Press ctrl + click to select multiple positions)

Use Ctrl or Shift keys to multi-select.

List the specific Region, College, or At-Large area:

University

Degree

Extracurricular Activities at BYU (clubs, offices, organizations):

Present Occupation (employer, position):

Previous Work History (other companies, positions):

Church Service (mission, leadership positions, callings):

Civic Involvement (organizations, positions):

Reason for Nomination: