Asian Pacific Alumni of ND Nomination Form 2010
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1. Nominee Information

Asian Pacific Alumni (APA) of Notre Dame Nomination Form

Please fill out the nomination form for yourself or the person you are nominating. The form will be submitted to the Alumni Association and will be forwarded to the APA of ND Board Election Committee for review. If you have any questions, please contact Karen Putt in the Alumni Association at 574-631-7877. Thank you for your interest in serving on the APA of ND Board!

1. Please indicate the position(s) the nominee is interested in:

Please indicate the position(s) the nominee is interested in: Treasurer

Student Relations Director

Regional Director – Hawaii

Regional Director – San Francisco

Regional Director – East

2. Nominee's Name:

Nominee's Name:

3. Nominee's Class Year:

Nominee's Class Year:

4. Nominee's Degree:

Nominee's Degree:

5. Nominee's Occupation:

Nominee's Occupation:

6. Nominee's Home Address, City, State, Zip:

Nominee's Home Address, City, State, Zip:

7. Nominee's Email:

Nominee's Email:

8. Nominee's Phone:

Nominee's Phone:

9. Nominee's Business Name, Address, City, State, Zip and Phone:

Nominee's Business Name, Address, City, State, Zip and Phone:

10. Nominator Name, Address, City, State, Zip, Phone and Email (please leave blank if self-nomination):

Nominator Name, Address, City, State, Zip, Phone and Email (please leave blank if self-nomination):

11. Please tell us why you or the person you have nominated should serve on the APA Board:

Please tell us why you or the person you have nominated should serve on the APA Board:

12. Is the nominee a member of their local Notre Dame club?

Is the nominee a member of their local Notre Dame club? Yes

Other (please specify)

13. List organizations and activities the nominee was involved in as a student at Notre Dame:

List organizations and activities the nominee was involved in as a student at Notre Dame:

14. Please list the nominee's involvement in any volunteer or professional organizations:

Please list the nominee's involvement in any volunteer or professional organizations:

Asian Pacific Alumni of ND Nomination Form 2010Exit this survey >>