Concerned Stakeholder Contact Form

Concerned Stakeholder Form

Please enter your information below so that we may keep you informed.
Full Name:*

First NameLast Name
Title:*
Contact Number*

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country:
E-mail:*
example@example.com
School/College
Graduation Year:
Affiliation to Howard University*
Occupation (if retired, choose your primary former career):*
Are you a member of HUAA?*

YesNo
What is the best way to reach you?*
Have you ever served in a student government position while attending Howard University?*

YesNo
If so, please note organization, position, and year
Have you ever served on the Howard University Board of Trustees?*

YesNo
If so, please note position, committees served, and years served
Please note Concerned Stakeholders committees* upon which you would like to serve:

Alumni Independence**Communications/Social MediaResearch
*Please see descriptions of all committees here.

**If you would like to join one of the Alumni Independence subcommittees, please use this form. Thank you!!
Comment and Questions:
Source*
Should be Empty:

Concerned Stakeholder Form