NUAA Nomination Form

NUAA BOARD OF DIRECTORS NOMINATION FORM

Nominee:

Class:

Address:

City:

State:

Zip:

Daytime telephone:

Evening Telephone:

Email:

Norwich degree and major:

Corps or civilian?

Sports, activities, clubs at Norwich:

Other degrees/universities/specialties:

Spouse (include maiden name):

NU/VC?

Children (names and ages):

Any children attend NU/VC?

Current employer & job title (if retired, previous profession):

Nominated by:

Class:

Date (mmddyy):

Please give a brief description of the nominee's alumni or other volunteer involvement:

Describe the nominee's professional/military/civic career highlights/experience:

:

This Nomination Form will be emailed to:

Walter A. Brown '72
58 Beauview Ave
Nashua, NH 03064
Phone: (603)880-4179
Email: Walter.A.Brown@baesystems.com

If possible please send a resume and photo to Walter.A.Brown@baesystems.com.

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