Young Alumni Council 2012 Nomination Form

PLEASE SUBMIT THIS FORM NO LATER THAN FRIDAY, FEBRUARY 10, 2012.

It is not necessary to know all of the requested information below for the person you are nominating. Please provide the nominee’s name and email address and as much other information as possible. Thank you.

	Name of Nominee:
	Email Address:
	Phone:
	Undergraduate School:
	Graduation Year:
	City/State/Zip:
	Comments:
	Name of Nominator:
	E-Mail Address:
	Phone:
	Undergraduate School:
	Graduation Year:
	How did you hear about the Young Alumni Council nomination process?

To learn more about the Young Alumni Council and its members, please visit our website, www.alumni.virginia.edu/youngalum.

If you have any questions regarding the Council or the nomination process, please contact the 2011– 2012 Executive Committee:

Emily Ewell, President, emily.ewell@gmail.com or

Chat Razdan, Vice President, crazdan@gmail.com.

Thank you for nominating an outstanding alum for the Young Alumni Council.