Alumni: Alumni Council Nomination Form

Thank you for your submitting a nomination for the Alumni Council. Please fill out the fields below and click the "Submit" button at the bottom of the page to submit your nomination. Submissions will then be reviewed by the Alumni Council. Once reviewed, we will be in touch if we have questions or need additional information.

If you have any questions, contact us at alumnioffice@widener.edu. Thank you again for your nomination!

Full Name (First & Last)*

Preferred Email Address*

example@example.com

Preferred Phone Number*

Please enter a valid phone number.

Nominee's Full Name (First & Last Name)*

Nominee's Preferred Email Address*

example@example.com

Nominee's Phone Number*

Please enter a valid phone number.

Nominee's Year(s) of Graduation*

Nominee's Preferred Widener School/College*

Nominee's Job Title & Company Name

Nominee's Current City/Location

Explain why the nominee would be a good addition to the Alumni Council. Please include any professional expertise, prior volunteer or board experience, community service or other qualifying traits.

If self-nominating, please state your interest in serving on the Alumni Council. Please include any professional expertise, prior volunteer or board experience, community service or other qualifying traits.

Any additional information we should be aware of?

Nominate an Alumni for Alumni Council