Nominate a Board Member

Step 1
Step
Review

The information you provide will be used to review your qualifications for potential appointment to the Alumni Association Board of Directors.

First Name*

Middle Name

Last Name*

Address Line 1*

Address Line 2

City*

State*

Zip Code*

Home Phone*

Work or Cell Phone*

eMail Address*

Current or Last Employer

Title:

Years at Employer*

Do you have family members or relatives who attend/attended ESU?*

Education Information

ESU Degree/Major

Graduation Year

Other Degrees (include institution and degree)

Groups / Activities while attending ESU

Professional Awards and Achievements

Please include a description of the award and year received.

Nominator’s Statement

Please provide your endorsement of this candidate, and explain how his/her qualifications and experiences will help to promote and/or advance the goals of the ESU Alumni Association.

Nominator’s Name, Address and Phone Number

Thank you for your interest in the East Stroudsburg University Alumni Association Board of Directors. Application Forms will be maintained in an active file status for review for two years.