Notable Alumni Candidate Submission

Please use the following form to submit a name for possible inclusion on the notable alumni web pages.
All submissions are subject to the review of the Notable Alumni Committee.

(So that we can properly identify you and/or the person you are recommending, required fields marked with an * must be completed before form can be submitted successfully).


Your Information

   

First name*

Middle/Maiden

Last name*

Date of Birth*

MMDDYY

Address line 1

Address line 2

City

State

XX

Zip

XXXXXXXXX

Class year

XXXX

Email*

Home Phone

XXXXXXXXXX

Work Phone

XXXXXXXXXX

Mobile Phone

XXXXXXXXXX

Candidate Information

   

First name*

Middle/Maiden

Last name*

Date of Birth

MMDDYY

Address line 1

Address line 2

City

State

XX

Zip

XXXXXXXXX

Class year

XXXX

Email

Home Phone

XXXXXXXXXX

Work Phone

XXXXXXXXXX

Mobile Phone

XXXXXXXXXX

Website

Occupation


Why do you think this candidate should be included as a Notable Alumna/us?*

Additional Comments:

 

Page updated: 07-Oct-2011

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The University of North Carolina at Greensboro
Greensboro, NC 27402-6170