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Alumni Council Prospective Member Application
Please fill out the following form to apply for membership in the Alumni Council.
Information
Name:
Class Year:
Major/Course of Study:
College Activities:
Street:
City:
State:
Zip:
Home Phone:
Work Phone:
E-mail:
Employer:
Position:
Church affiliation:
Civic/community involvements:
Response
Briefly describe your interest in serving on the Alumni Council. What contributions would you like to make to Messiah College and the Alumni Association through Alumni Council involvement?
Comment on ways you may have stayed connected/supported the College since graduation:
Please take a few minutes to read the
Alumni Council Member Position Description
now.
I am most interested in serving as a:
Regional Representative
Affinity Group representative for:
Member-at-Large
The Alumni Council meets twice a year; in the fall and in the spring. These meetings are normally scheduled for Friday evening through Saturday mid-day. Will you be able to commit to attending these meetings?
Yes
No
Unsure; Need More Information
Can you endorse Messiah College's
Mission and Identity Statements
and
Statements of Faith
?
Yes
No
Please provide the names of 2-3 Messiah alumni friends or acquaintances who can attest to your interest, loyalty, and enthusiasm for Messiah College.
1.
2.
3.
Additional Comments:
By signing below, I confirm that I have read the
Messiah College Alumni Council Member Position Description
and I understand that the primary purpose of the Alumni Council is to serve as an advisor and volunteer to the Messiah College Office of Alumni & Parent Relations in advancing the mission of Messiah College and serving the Alumni Association. I understand that the submission of this application is for the purpose of placing my name into active consideration by the Executive Officers of the Alumni Council and the staff of the Office of Alumni & Parent Relations and is not a guarantee of my selection.
Signature:
Date:
THANK YOU for your interest in the Messiah College Alumni Council!
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