Nomination Form

Nominator's Contact Information

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Privacy Statement

Memorial University of Newfoundland protects your privacy and maintains the confidentiality of your personal information. The information requested in this form is collected under the general authority under the Access to Information and Protection of Privacy Act, 2015, SNL2015 CHAPTER A-1.2.

Information collected will be stored with Development and Engagement and in the Alumni Affairs and Development database and may be used for event planning, fundraising, income tax purposes, statistical reporting and affinity partnerships. If you have any questions about the collection and use of your information, please contact the Development and Engagement Office at 1-709-778-0367 or 1-709-778-0621 or