Board Nomination Form

Thank you for your interest in nominating an individual for consideration by the Board of Directors Nomination Committee.

To nominate a candidate, please complete the form below.

The committee will be accepting nominations until March 1.

Board Member Roles and Responsibilities

Board Member Nomination Home

Link to printable PDF version

Please provide the following information.

*= Required Field

Nominee Information
Name*
Birth Date
Address
E-mail Address
City
State
ZIP Code (If applicable)
Country
Membership in Association (required) (Annual/Life/Jayhawk Society	Annual Life Jayhawk Society

Degrees
College	School	Year

Professional History
Present
Title
Firm
Description of Firm
Past
Dates	Position

Professional Achievements
Achievement
Achievement

Public Honors
Honor
Honor

Past Service include dates when known
Alumni Association
Board of Directors
Committees
Chapter Leadership
Club Leadership
Kansas Honors Program Leadership
'Hawk to 'Hawk Mentor
Student Recruitment
Jayhawks for Higher Education
Endacott Society
Other events or special programs
University
Endowment Association
Athletic Corporation
Chancellor's Office
School & College
Office of Admissions
Other University organizations
Community
Service
Service
Service
State
Service
Service
Service
Nation
Service
Service
Service
Undergraduate Activities
Activity
Activity
Social Fraternity
Honorary, Professional, etc.
Honorary, Professional, etc.
Athletic
Athletic
Military
Dates
Rank
Other
Please list Web sites or other sources of information and attach newspaper clippings or other documents available.

Nominator Information
Name
Address
Phone
E-mail Address
Date
Special Comments from Nominator or Researcher