INTENT TO RUN

By entering my name below: I, hereby state or confirm my intent to run as a candidate for Alumni Trustee of Lincoln University*

CANDIDATE INFORMATION

First Name *

Last Name *

Email Address *

Cell Number *

Address *

City *

State *
AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming

Zip Code *

General Information

Lincoln University Degree(s) & Year(s)

Are you a member of AALU? (Yes or No)

Preferred Method of Contact (Email / Phone / Postal Mail)

I am a paid and ACTIVE member of (select chapter):
BaltimoreCentral JerseyChester CountyCoastal VirginiaDC MetroGreater CarolinasSouthern CaliforniaNew York MetroPhiladelphiaPittsburgh

Reason for Running

Please state your reason for running (no more than 150 words)*

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