Please provide as much information as possible below.  If you don’t have a certain piece of information, just leave that field blank.  If you have multiple prospects, just submit a single record, then close and reopen this page to enter the next prospect’s information.  Your contributions are highly appreciated.

This information will only be used to communicate with the nominee and to request follow up information.  It will not be provided to any person or group outside of the TKE Northwest Alumni Board of Advisors.