Johnson School Advisory Council Membership Nomination Form
Please provide your justification for nomination according to criteria below.  If you cannot provide details, please complete name, address and Cornell degree year to the best of your knowledge.  If you have any questions, please reach out to Lauren Wilcox, Assistant Dean for Development, at lmw245@cornell.edu.

Confidential:  Not for completion by the nominee

Please submit your nomination no later than February 15, 2024
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Email *
Industry 
Your Name 
(Please provide first and last name, as well as maiden, if applicable)
 *
Nominee Name 
(Please provide first and last name, as well as middle and maiden, if known/applicable)
 *
Why do you believe this candidate would be a good leader and ambassador for the Johnson School? *
Cornell Degrees
Business Information
(Company, Title, City, State)
Home Address
Johnson School Leadership Activities
Cornell Leadership Activities
Business, Professional, and Vocational Leadership Activities
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