Nomination Form for Alumni Board

Date of Submission:

Prefix:

Name of Nominee:

Nominee YDS Class Year/Degree:

Nominee Address:

Nominee Phone:

Nominee Fax:

Nominee E-mail:

Nominee Denomination:

Nominee Race/Ethnicity (optional):

Asian/Asian-American/Pacific Islander

Black (non-Hispanic/African American)

White (non-Hispanic)

Hispanic/Latino

Native American/Alaskan Native

Other (Please specify below)

Other race/ethnicity:

Please describe gifts/talents this person would bring to the alumnal board.:

How has this individual demonstrated a commitment to YDS? :

Current Employment of Nominee

Title:

Institution:

Address:

Person submitting nomination

Prefix:

Your Name:

Your E-mail: *

A valid e-mail is required. A copy of the nomination will be sent to this address.

Your YDS Class Year/Degree:

Your Address:

Your Phone:

Your Fax:

Yale Divinity School