Nomination

All information that you submit will be kept confidential. It is not necessary to submit complete or comprehensive information, as the Nominating Committee will conduct additional research on all candidates. You should, however, testify to those aspects or qualities of a candidate that you believe most warrant the Committee’s consideration.

Mail in nominations can be sent to Mark Dollhopf '77, Secretary to the Committee for Nomination of Alumni Fellows, P.O. Box 209010, New Haven, CT 06520-9010. Fax: 203-432-0587.

Nominee

Name: *

School/Year: *

Address: *

Address 2:

City: *

State: *

Zip: *

Telephone: *

Nominee’s Most Significant Professional or Public Service Achievements: *

Nominee’s Most Significant Yale Activities Since Graduation: *

Most Important Qualities the Nominee Would Bring to the Corporation: *

Submitted by

Name: *

School/Year: *

Address: *

Address 2:

City: *

State: *

Zip: *

Telephone: *

Email: *

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

What code is in the image?: *

Enter the characters shown in the image.