York Technical College Alumni Connection
A Programmatic Entity of the York Technical College Foundation
Alumni Representative Nomination Form
Complete this form to submit a no
mination for an alumnus/a to serve as an Alumni Representative in the
Alumni Connection Advisory Group.
Candidate Infor
mation:
Name:
Preferred Phone:
Preferred Email:
Graduation Year: Program(s) of Study:
Employer: Title:
Please list the nominee’s qualifications for leadership (i.e. activities within his/her community, business,
and with the College) and how the nominee will work to advance the mission of the Alumni Connection
and York Technical College.
Nomination Submitted By:
Name:
Phone:
Email:
Relation to Nominee:
Instructor
Colleague Classmate Self Spouse
Other:
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