Averett University Nomination Form

I nominate the following individual(s) as potential candidate(s) for the presidency of Averett University.
I agree that I will maintain confidentiality in regard to this nomination, and that RPA Inc.

May May Not

use my name in discussing Averett University and the search for the next President with the nominee(s).

Your Name:
Your Address:
Your Phone:
Your E-mail:

Nominee Name
Title

Contact Information: (Please provide as much current contact information as you are able to. RPA Inc. will contact each person you nominate.)