Board Member Nomination Form

Please complete the form below to nominate a person to the Mount Aloysius Alumni Board

*First Name:
*Last Name:
*Home Address:
City:
State:
Zip Code:
*Preferred Number:	Home Business
*Email Address:	Personal Business
Profession:
*Year(s) of Graduation:
Field of Study:
Describe Talents and Leadership Skills nominee would bring to the Alumni Board:
Other Volunteer Positions with Mount Aloysius and/or the Alumni Association of Nominee:
Past and Present Community Involvent of Nominee (describe below)
Business:
Civic:
College/University:
Other:
*Name of Nominator:
Date: