LFC Alumni Application

LFC Alumni Application

Leadership Fox Cities
Name

First NameLast Name
LFC Class Year
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal Email
example@example.com
Phone Number

Area CodePhone Number
Current Employer
Organization Name
Title/Position
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Email
example@example.com
Phone Number

Area CodePhone Number
Community Interests: Which issue(s) concern you the most about our community? (please select no more than 2 issues)

Other
Would you be interested in board service or a committee member?
Which LFCAA Board/Committee role are you interested in being considered for? (check all that apply)
Why do you believe you would be a good candidate for this position on the LFCAA board?
What background, skills or abilities do you possess that would benefit the LFCAA board?
Please share other affiliations or organizations that you are or have been involved (membership, board, volunteer, etc)
Which areas of the LFCAA are of interest to you?
How would you like to assist the Alumni Association in the future?

Other
Any questions on the Leadership Fox Cities Alumni Association can be sent to:

leadershipfoxcitiesalumni@gmail.com

Annual Donation ($35 tax deductible)$50.00

Lifetime Donation ($350 tax deductible)$500.00

$250 Leadership Fox Cities Scholarship contribution$250.00

$100 Leadership Fox Cities Scholarship contribution$100.00

$50 Leadership Fox Cities Scholarship contribution$50.00

Total $0.00