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Crummer Alumni Board Nomination Form
Nominee Information
First Name*
Preferred Name
Last Name*
Class Year(s)
Phone Type
Phone - Business
Phone - Landline
Phone - Mobile
Phone*
Email Type
Email - Business
Email - Personal
Email Address*
MBA Program
AMBA
EAMBA
EMBA/CMBA
KEMBA
MBA
PMBA
SMBA
Employer Name
Job Title
Number of Years with Present Company
Hidden Device Type LinkedIn
Email - Assistant
Email - Business
Email - Personal
Email - Rollins
Facebook
LinkedIn
Phone - Business
Phone - Landline
Phone - Mobile
URL
Website
LinkedIn Profile, if applicable.
Hidden Device Type Website
Email - Assistant
Email - Business
Email - Personal
Email - Rollins
Facebook
LinkedIn
Phone - Business
Phone - Landline
Phone - Mobile
URL
Website
Website, if applicable.
Previous Volunteer Experience
Affiliations or Organizations.
Please check any of the following skills or experience the candidate possesses: (
You may check multiple boxes.)
Please check any of the following skills or experience the candidate possesses: (
You may check multiple boxes.)
Finance
Management
Marketing
Communications/Public Relations
Social Media Expertise
Web Design
Community Outreach
Fundraising
Personal Statement (Please tell us why you are interested in serving as a board member with the Crummer Alumni Board, and why you would be a good candidate.)
Nominee Resume
Submit