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Nominee Information
First Name:*
Last Name:*
Business Position:*
Organization:*
Date of Birth:*
Political Party:*
Status:	Elected Appointed Other
Business Address:*
City:*
State:*
Zip Code:*
Email:*
Business Phone:
Cell Phone:

What special background, qualities, or experience does this nominee have that would make him or her a good ACYPL delegate?
Nominator Information
First Name:*
Last Name:*
Email:*
Title:
Organization:
Business Address:
City:
State:
Zip Code:
Business Phone:
Cell Phone:
What is the best way for ACYPL to contact you:
Alumni Council Membership:	Annual Charter
Other ACYPL Involvement:
Please attach a copy of either the nominee’s resume or bio.
Resume*
Bio