Marymount Alumni Board Form

Please complete this form and attach your Resumes/CV as supporting documentation. Please type or print legibly. The completed form is to be submitted no later than Tuesday, February 15 2022, to the MU Office of Advancement at alumni@marymount.edu

Name of Nominee: (required)

MU Degree(s): (required)

Graduation Year(s): (required)

Home Address: (required)

Home Phone: (required)

Company/firm: (required)

Job Title: (required)

Business Address: (required)

Business Phone: (required)

CONNECTION TO THE UNIVERSITY AND ALUMNI (involvement in alumni activities, e.g. mentoring, regional host, committees, etc.; philanthropic or other active support; involvement in student activities): (required)

BRIEF STATEMENT OF INTEREST (including specific things you would like to see the Board do and that you would be excited about supporting): (required)

CAREER SUMMARY: (required)

PROFESSIONAL AND/OR CIVIC ACTIVITIES: (required)

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NOMINATOR’S INFORMATION:

Name or Self-nomination : (required)

MU Degree & Year: (required)

E-mail Address: (required)

Phone: (required)