Wagner Alumni Association (WAA)


Please complete this form in order to confirm your nomination for/as a candidate in the 2009 WAA elections for the 2009-2010 term.

All fields marked with are required.

1. Name and Degree Information

First Name:
Last Name:
Preferred E-mail:
Degree Program:
Specialization:
Graduation Year:

2. Home Contact Information:

Mailing Address:
Address Line 2:
City:
State:
Zip Code:
Country:
Phone:

3. Work Contact Information


Title:
Division/Department:
(if applicable)
Employer/Organization:
Mailing Address:
Address Line 2:
City:
State:
Zip Code:
Country:
Phone:

 

4. For which position are you interested in being a candidate?

Officers:
President
Executive Vice President
Vice President for Development
Recording Secretary
Corresponding Secretary
Treasurer
Board of Directors:
Director

5. Candidate Bio

Please provide a short biographical sketch in the field below, including your professional and educational background (no more than 100 words).

6. Commitment Statement

In the field below, please articulate your commitment to the goals and responsibilities of the WAA, and describe any specific strategies or actions you would employ to attain those goals (no more than 100 words).

7. Contract Statement

By checking this box, I indicate that I understand the responsibilities of the position for which I am running, and that I am committed to the time and effort that this position requires, including participating on a committee as appropriate, attending regular meetings, and contributing to the annual fund (at any level).