2022 Nomination & Reference Forms

Membership Nomination & Reference Forms
Please enter your information:
First Name*
Last Name*
Email*
Please enter applicant's information:
Applicant's First Name*
Applicant's Last Name*
Applicant's Email*
Nomination or Reference?

Nominations may only be submitted by a Lyceum Director or Alumni. References may be submitted by anyone.

If you are unsure if an applicant has listed you as a nominator or reference, please contact them before completing this form.
Are you submitting a nomination or reference?*

NominationReference

Nomination Form
Thank you for nominating candidates for membership in The Texas Lyceum. Please enter the information below and complete the reference form on the next page.
How do you know the applicant?

Close Personal RelationshipNumerous Social ContactsOccasional Social ContactsNumerous Business ContactsOccasional Business ContactsPrincipally by Reputation
In rank order, which qualities will this nominee bring to the Lyceum (1-8):

1 is the top quality. Please use each number only once.
Ethnic Diversity*
Occupational Diversity*
Leadership*
Political/Government Connections*
Prestige*
Financial Resources*
Geographic Diversity*
Fresh Perspectives*

Reference Form
Thank you for submitting a reference for a Lyceum applicant. Please submit your letter of recommendation by choosing a file from your computer and clicking the "Upload a File" button or create your letter in the space provided, and click "Submit."
How do you know the applicant?*
How long have you known the nominee?
Recommendation is for

CourtesyFriend/ColleagueOther
Membership Reference Letters
Thank you for recommending candidates for membership in The Texas Lyceum. Please enter the information below, and either submit your letter of recommendation by choosing a file from your computer and clicking the "Upload a File" button or create your letter in the space provided, and click "Submit."

Use the exact spelling of the applicant's name and his/her exact email address when submitting this form.
Letter of Recommendation

You may choose a file to upload or type your letter below. Once you have uploaded or typed your letter, please click "Submit"
Choose a file from your computer:

Upload a File
Files should be a Word document or PDF Cancelof
OR
Type your letter in the space below:
Should be Empty:

Membership Nomination & Reference Forms