Nomination Form

To nominate someone for the UW Bothell Alumni Council, please complete the form below. Self-nomination is encouraged.

Nominees Information

Name of Nominee: Required

Degree(s):

Graduation Year(s):

Address of Nominee:

Phone:

Email:

Position(s) for which this alumnus is recommended:

Executive Committee:

Chair Elect
Secretary
Marketing & Membership Chair
Fundraising & Events Chair
Awards & Recognition Chair
Alumni Relations Chair
Alumni Liaison
At-Large Member

Reasons for recommending this alumnus: (i.e., UW Bothell Alumni Council experience, committee work, skills, qualifications, achievements, career.) Use additional space if necessary.:

Your Information

Recommendation submitted by: Required

Phone:

Email: Required

Security Question: Required