Board of Managers

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Please complete and submit your Board of Managers Bio as soon as possible.

Board of Managers Biographical Information

Your Full Name (required)*
First Middle Last, Suffix Nickname
Date of Birth*
MM slash DD slash YYYY
Location of Birth*
Cell Phone*
Email Address (current and active)*
If you have a Gmail email, that is preferred because all of our Board of Managers documentation and reporting is done thru our Google Drive. But any email will do.
Home/Mailing Address*
Street Address Address Line 2 City State Zip Code Country
Year Elected to Society
Please enter a number from 1970 to 2021.
Name of Wife (if married)
First Middle Last
Location of Work (most days)
- Center City
- Philadelphia Suburbs
Education (HS, College, Post Grad, etc)
Other Societies & Clubs (Lineage, Social, Fraternal, Athletic, etc.)
Upload Headshot/Profile Pic
Max. file size: 50 MB.
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Phone
This field is for validation purposes and should be left unchanged.

Thank you

Help our society continue to help remember.