Osher Board Member Application 2023-2026
Application deadline: February 1, 2023. Applications received after the deadline will not be considered. Additional materials and/or attachments are not accepted. You will receive a confirmation of your application as an email.
Name
*
First Name
Last Name
Familiar Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Preferred method of contact:
*
Email
Phone
Career/Former Career
Employer:
Your Title:
Type of Business or Organization:
Primary Services and Area Population Served:
Education/Training/Certificates:
Community Service:
Civic, fraternal, political, professional, recreational, religious, social
(Optional) List any awards or honors that you deem relevant to this application:
Osher Experience and Participation:
Number of years you have been an Osher member:
*
Have you been a part of any Osher Committees? Please list all committees and number of years involved below:
List name of committees and number of years involved.
Have you been a Study Leader? Please list courses and number of years/terms:
List subjects and number of years.
Have you ever been an Office Volunteer? Please list approximate hours and duties:
List approximate number of hours and duties.
Have you attended any Osher Events? Back-to-School Picnic, Annual Meeting, Lectures, etc.:
Back-to-School Picnic, Annual Meeting, Lectures, etc.
Are you a part of any Special Interest Groups (SIGs/ZIGs)?
What types of courses do you usually take? How often do you take courses?
Types of classes/average number per semester
Skills, experience, and interests (check all that apply):
*
Finance, accounting
Personnel, human resources
Administration, management
Nonprofit experience
Community service
Policy development
Program evaluation
Public relations, communications
Education, instruction
Special Events
Grant Writing
Fundraising
Outreach, advocacy
Long range planning
Diversity
None of the above
Other
How would Osher at Carnegie Mellon benefit from your being on its board?
*
Limit 1000 words
0/1000
(Optional) List groups, organizations, or business to which you could serve as a liaison on behalf of Osher Lifelong Learning at Carnegie Mellon University:
Limit 500 words
0/500
(Optional) Is there anything else you would like to share?
Limit 500 words
0/500
Submit
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