Nominee Information
Name:
Degree:
Class year:
Home Address:
Home Address 2:
City:
State:
Zip:
Employer:
Position:
Work Address:
Business Phone:
Email Address:
Your information Name:
Address:
Address 2:
Home Phone:
Please provide a statement, being as specific as possible, of your reasons for nominating this alumnus. Be sure to include career achievements, volunteer work and any involvement he or she may have with the University of New Haven.