A&S Alumni Board Application

A&S Alumni Board Application

Please take a moment to fill out the application below to be considered for the A&S Alumni Board. A representative will follow up with you after you have submitted the form.
Name*

First NameLast Name
Former/Maiden Name
Class Year(s) *
List all class years from degrees you earned at UC.
Major(s)*
List all of the majors you earned at UC.
Degree(s)*
List all degrees you earned from UC.
Home Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Preferred Phone Number *

Area CodePhone Number
Preferred Email *
example@example.com
Position/Title*
Employer *
Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Work Phone Number

Area CodePhone Number
Primary reason for getting involved*

Community EngagementI Love UCLeadership OpportunityMentoring (students and/or alumni)NetworkingProfessional DevelopmentSocial ActivitiesStudent Engagement
Please describe your interest in becoming involved with the board.*
Please indicate any current involvement you have with UC or your community. *
Please describe your strengths and why you would be an asset to the board. *
Have you attended a UC event in the last five (5) years?*

YesNoOther
Are you a first-generation student? At UC, first-generation college students are defined as students whose parent(s)/guardian(s) did not earn a bachelor's degree within six years after high school graduation.

YesNo
Please upload a copy of your resume/curricula vitae.

Browse Files
Preferred file types are .PDF, .DOC, .DOCX Cancelof
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