Alumni Board Application - D'Youville University

Alumni Board Application Form

Please provide the following information:

Nominator (can be self)*

Nominee's First Name*

Nominee's Maiden Name

Nominee's Last Name*

Graduation Year

Major

Address

Phone Number

Email Address

Company Name

Current Position/Title

Explain why you or the person you are nominating would be a valuable asset to the Alumni Board.*

Please list your/their current involvement with D’Youville and/or the Alumni Association, if any.

Please list any community organizations you/they are involved in.