Alumni Association National Board of Directors Application
Personal Information
* denotes required fields
*First Name
*Last Name
Middle Name
Maiden Name
*Class Year
*Address
*City
*State
AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY
*Zip
Daytime Phone(include codes/prefixes, i.e. 317.955.6000)
Evening Phone(include codes/prefixes, i.e. 317.955.6000)
*E-Mail Address
Involvement/Experience
Please list your current or past university involvement as a student and/or alumni (student organizations, committees, boards, etc.):
Please outline any additional volunteer or leadership experience.