Alumni Board Application Form

Personal Information

Legal First Name

Preferred First Name

Last Name

Alternate or Previous Last Name

Preferred Email Address

Date of Birth

Mailing Address

Country

Street

City

Region

Postal Code

Graduation Year(s)

Major(s)

Employer/Title

Are you interested in serving on the Alumni Board now or at a future time? If the latter, please provide a brief explanation. (Example: “I would be interested in serving after summer 2024 when I complete my master’s degree.”)

Why are you interested in serving on the Alumni Board?

Relevant skills and experience (volunteer management, fundraising, etc.)

List any other groups, boards or organizations you have been part of in the past or currently.

Would you be interested in an officer position? Please check all that apply.

Resume or Other Document

Please upload any additional information you think would be helpful (i.e., resume, news articles or other documents.)

Please list one personal or professional reference that we may contact for a recommendation.

Reference Name

Reference Email Address

Reference Phone Number

Set Potential Alumni Board Member tag on submission

Set

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