Alumni Association Board of Directors Nominations Form

Contact Information:

Name:*

First Name

Last Name

Primary Email:*

Address:*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone Number:*

Employment Information:

Place of Employment:

Job Title:

How long have you been with your employer?

Business Adrdess:

Address Line 1

Address Line 2

City

State

ZIP Code

Business Phone:

Please describe your job responsibilities:

Please list any professional achievements or honors you've received:

Tell us more:

Please list any activities, clubs or organizations you were involved in while at FGCU, including leadership positions:

Highlight Past OR Present Involvement in other Civic Organizations:

If selected, what would you like to accomplish as an alumni board member?

List current and past leadership positions held on other volunteer boards or committees:

Are you a Forever an Eagle member?

Yes No

Alumni Association Committees: Please check all that interest you

Annual Giving Awards Scholarships Fundraising Events

How can we get graduates to stay involved in the university?

How did you hear about this opportunity?