Please complete this form to provide your information to the Nominating Committee to be considered for a director position.
City: State: Zip Code:
Employer: Job Title: Type of Industry:
Children (names and ages):
Have any other family members or relatives attended Shippensburg? Please include name, relationship, and graduation year.
Shippensburg major and Graduation Year:
Advanced Degrees Earned (include degree and institution):
Professional awards or achievements - indicate award and year:
Please provide a statement(s) reflecting your reason or interests in becoming a member of the Alumni Board.
Please list references and contact information (one reference should be affiliated with Shippensburg University if possible).
I have completed the requested information for consideration by the Nominating Committee and I have read and agree to serve, if selected, in accordance with the “Position Description” for members of the Alumni Board of Directors.
Signature (or type if sending electronically): Date:
Alumni Board of DirectorsMission and PurposeRoles and ResponsibilitiesPast Board Directors