SIU Alumni Association National Board of Directors Nominations Form

You may either nominate an individual or self-nominate.

All nominations must be completed by November 19, 2021.

The Board of Directors serves a critical role by providing strategic direction, resources, and professional expertise to help carry out the SIU Alumni Association mission. One term on the board consists of two years, with the option of being selected to serve additional terms.

Directors-at-Large are voting members of the SIU Alumni Association board. They must have been granted one or more academic degrees from Southern Illinois University Carbondale and be willing to adhere to the following responsibilities and duties:

Commit to the mission, vision and guiding principles of the Association and become knowledgeable about its programs, services, structure, goals and objectives

Be an advocate for SIU in order to enhance SIU’s visibility in their community

Be an active member of the Board
-Attend Board meetings (in-person or via Zoom)
-Serve on committees as assigned by the President and/or the Executive Director

Question Title

* 1. Are you nominating another individual or self-nominating?

Nominating another individual

Self-nominating

Nominator Information

Question Title

* 2. Your name:

Question Title

* 3. Your preferred email address:

Question Title

* 4. Your preferred phone number:

Question Title

* 5. Your street address (include city, state, ZIP):

Nominee Information

If you are nominating another individual, please enter as much information as possible. If you are uncertain of the specific information asked, please enter N/A in the field below it. If you are self-nominating, please enter your information again.

Question Title

* 6. Nominee's name:

Question Title

* 7. Nominee's email address (enter N/A if you are uncertain):

Question Title

* 8. Nominee's phone number (enter N/A if you are uncertain):

Question Title

* 9. Nominee's street address (include city, state, and ZIP) [Enter N/A if you are uncertain]:

Question Title

* 10. All nominees must be graduates of Southern Illinois University Carbondale. Please list the year(s) of degree(s) and school(s) from which the individual graduated (enter N/A if you are uncertain):