Board of Governors Nomination Form
NOMINEE INFORMATION
First Name:
required
Last Name:
required
Middle Initial:
Home Address:
required
Telephone
Fax:
Email Address:
Class Year or Year(s) Attended the University of Maryland:
Major(s):
Degree(s):
Education other than at University of Maryland:
required
Business/Profession:
required
Title:
Business Address:
Business Telephone:
Fax:
ACTIVITIES
Current University of Maryland Activities:
required
University of Maryland Activities as a Student:
*Business, Professional, Community Service, Honors, Awards or Achievements:
required
Please include any more information that may be helpful to the Nominating Committee:
If you prefer to upload a file, please make sure it is no more than 5MB.
 


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