Official Nomination Credentials Form for Alumni Trustee

Fields marked with an * are required.

Nominee Information:

Nominee's Full Name

*
Nominee's Address *
Nominee's Day Phone *
Nominee's Evening Phone *
Nominee's E-mail Address  
Nominee's Cell Phone  
Nominee's Date of Birth *
Nominee's Degrees Earned
at Howard University
*
Please enter the school, degree and year.

Submitter Information:

Full Name *
Address *
Day Phone *
Evening Phone *
E-mail Address *

Questions:

1) Has your nominee consented to be nominated and agreed to serve if elected? *
Yes No

2) Is your nominee a full-time employee of Howard University? *
Yes No

Statements/Documents:

Statement explaining why the nominee will be an asset to the Board of Trustees: *
(Up to 500 words)

Biographical information: *
(Up to 500 words)


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