Alumnae Elections

Alumnae Association Executive
Member Nomination Form

Please complete this form by August 24, 2012. Please contact Alison at alison.vilaca@uwo.ca or 519-432-8353 ext. 28033 with any questions.

*First Name:
*Last Name:
*Maiden Name:
*Year of Graduation:
Program:
*E-mail Address:
Phone Number:
*Mailing Address:
*Personal Biography:
	In addition to including a statement about why you would like to be involved in the Alumnae Association Executive, please also share any interests, career highlights, volunteer experience, personal accomplishments, etc. Maximum 250 words. In addition, please email a photo of the nominee to Alison at alison.vilaca@uwo.ca, so we can post it on the web with the nomination information.

*required field

Thank you for your nomination. You will be contacted by the Alumnae Relations Office upon receipt.