NCSIF Board of Directors Nomination Form

Nominee's Name(Required)

First Last

Nominee's Email(Required)

Nominee's Phone Number(Required)

Reason for Nomination(Required)

Your Name(Required)

First Last

Your Email(Required)

Your Phone Number(Required)

Your affiliation with NC State University(Required)

Select all that apply.

Alumni

Faculty

Staff

Current/Past Associated Entity Board Member

Donor

Other

For Current/Past Associated Entity Board Members, please enter the board's name:

If selected "Other", please explain:

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Phone

This field is for validation purposes and should be left unchanged.