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Alumni Board - Nomination Form


All graduates and former students of Central Missouri and of the College/University Lab School are eligible to be nominated for appointment to the UCM Alumni Association Board of Directors. Each Director serves a three-year term, beginning July 1 and ending June 30. They must attend quarterly business meetings on campus as well as actively participate in alumni events and activities. If you are interested or know of someone you would like to nominate please complete the information in this form.

Nomination for UCM Alumni Association Board of Directors

Information About Nominee

First Name*
Middle Initial
Last Name*
Current Address*
Address Line 2
City*
State/Province*
Zip/Postal Code*
Country*
Phone*
Email

Nominator's Information

First Name*
Middle Initial
Last name*
Maiden Name
Preferred Name
Address*
City*
State/Province*
Zip/Postal Code*
Country*
Phone
Email*
Graduation year*
Degree Received*
Comments