Alabama's Public Liberal Arts University

ALUMNI & FRIENDS

Junior Board of Directors

Nomination Form

Tell us about the Nominee...

First Name*  
Last Name*  
Current Address*  
City*  

State*

  

ZIP*

  
Home Phone*  
i.e.(205) 777-9999
Alternate Phone*
Preferred E-mail Address*  
Hometown  
Graduation Year(s)*  
Major
Other degrees,      

include all institutions
Spouse,           

include maiden name

  
Spouse's Graduation Year (if UM alum)  
Children, include ages
How involved was the nominee at Montevallo? (please include all affiliations)*  
Why should this nominee serve on the UMNAA Jr. Board of Directors?*  

 

Tell us about yourself...

First Name*
Last Name*
 Current Address*
City*
State*
ZIP*
Home Phone*
i.e.(205) 777-9999
Alternative Phone*
Preferred E-mail address*
Are you a current member of any board?*  Yes

 No
Can we contact you?*  Yes

No
Can we contact the nominee?* Yes

  No

* Indicates required fields.