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School of Public Health Alumni Board Application
School of Public Health Alumni Board Application
Contact Information
Name
First
Last
Work Phone number:
Home Phone number:
Email
Affiliation with the School of Public Health
Alumnus
Program
Year of Graduation
Student
Program
Expected Year of Graduation
Faculty Member
Program
Statement of Interest: Please indicate why you are interested in serving on the School of Public Health Alumni Board, what skills or expertise you would bring to the Board, and a description of your values as they relate to public health. Limit 500 words.
What type of board experience have you had in the past? Identify the board and your leadership position on the board.
What type of skills would you bring to the SPH Alumni Board?
Leadership experience: Please list any experience you have had that would bring value to the Board.
Leadership Opportunities
President
Secretary
Treasurer
Chair of a Standing Committee (Membership, Nominating, Annual Meeting, Constitution/Bylaws)
Please check the corresponding box if you are interested in being considered for an officer position on the SPH Alumni Board.
Professional Credentials
Please upload your resume or CV on the following page after you submit your application.
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