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Board Nomination Form

SUGGESTED CANDIDATE FOR BUCKNELL ALUMNI ASSOCIATION BOARD OF DIRECTORS
(Deadline is November 15, 2008)

Name:
Class Year:
Nickname (if known):
Home Address (if known):


Home Telephone Number:
Home Email:

Business Address (if known):


Business Telephone Number:
Business Email:
Position/Title/Field or Specialty:


Qualifications for Board Membership:


Recommended by:
Class Year:
Telephone Number:
Email:
Affiliation to Candidate:
Date:

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