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Alumni Board Nomination

Nominator Contact Information

First Name:

Maiden Name:

Last Name:

Address

City/Town

State/Province

Home Zip Code

Class Year

Cell Phone

Email:

Confirm email

Nominee Information

Nominee Name:

Nominee Class Year:

Please list qualifying attributes:

Nominee Name:

Nominee Class Year:

Please list qualifying attributes:

Nominee Name:

Nominee Class Year:

Please list qualifying attributes:

Nominee Name:

Nominee Class Year:

Please list qualifying attributes:

Thank you for nominating an alumnus/a for the ��vlog�� Alumni Association Board of Directors. All entries received after March 31st will be considered for the Board next year.

Should you have any questions, contact us by email: alumni@centre.edu or by calling the Alumni House at 859.238.5500.

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