CUE Alumni Members Program Form

CUE Alumni Members Program

The Alumni Members Program offers ongoing access to resources, networking, professional development & financial scholarships for alumni as they achieve key career or educational milestones. Due October 15th and April 15th Annually.
- Full Name*
  
  First NameMiddle NameLast Name
- Birth Date*
  
  MonthDayYear
- Email*
  example@example.com
- Phone Number*
  Format: (000) 000-0000.
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Preferred Method of Contact*
  
  EmailPhoneText
- Which CUE Program did you participate in?*
  
  Fostering Resilience Youth Leadership ProgramFostering Resilience Workforce ProgramArt is Resilience: Community-based, School-based, or Library ProgramOther
- If other, please explain.
- Years of participation*
- What is your current education, employment or entrepreneurial status?*
  (Please provide the name of the company or business and your role, if applicable)
- Are you currently enrolled in school or a career program?*
  
  YesNo
- If yes, add institution or program title.
- Have you completed any degrees, licenses, certificates, or professional training in the last 6 months?*
  
  YesNo
- If yes, please explain.
- Would you like to be featured in the Alumni spotlight (digital platforms, newsletter, etc.)?*
  
  YesNo
- How would you like to contribute as a mentor, volunteer or support person?*
  (e.g., mentoring, event support/chaperone, host workshops )
- Which events or networks opportunities are you interested in?*
  
  Alumni Meets-upExclusive Events (Summits, Community Projects, etc)Professional Development WorkshopsOthers (specify below)
- If other, please explain
- What else would you like to update CUE on for the last 6 months?
  (Achievements, Milestones, Business Developments)
- What are your personal or professional goals that CUE can support with as an Alumni Member?*
  (e.g., networking, mentorship, career advancement)
- Supporting Documentation (e.g., certificates, membership agreements, paycheck stubs, employment offers, degree, class or program schedules)
  
  Cancelof
- Please upload a clear photo to be used in announcements.
  
  Cancelof
- Comments, Questions, or Concerns?
- Terms and Conditions - By submitting this form, I acknowledge that I am a former participant of CUE and agree to provide biannual updates on my career, business, or education to remain eligible for the scholarship. I also understand the requirement to volunteer twice per year and engage with the CUE community. *
- Please verify that you are human*
- Should be Empty: