B-W: Alumni Council Nomination Form

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Alumni Council Nomination Form

Please state why you think this person would make a good Alumni Council member:
Nominee:
B-W Class Year:
Current/Past Council Position(s):
Nominee's Address:
Home Phone #:
Cell #:
E-mail:
Occupation:

Please check:		I have spoken with the nominee and confirmed his/her interest in the position. I am confirming my interest in continuing as a member of the B-W Alumni Council.
Nominated by:
Your phone #:
Your cell #:
Your e-mail: