Centurions Nomination Form for 2019

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Please use this application to nominate yourself or someone else for service on the Chancellor's Centurions.

Biographical Information
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Educational Background

Affiliations and volunteer engagement at UT institutions:
Please select all that apply.

*We request that members attend a minimum of one event per UT System fiscal year. Additionally, we require a minimum annual financial contribution of $500.00 from each member. Please reference the Chancellor's Centurions By-laws here.

Please contact Ashlynn Dickey with any questions you may have about joining the Chancellor’s Centurions.