Email Address
City of Residence (RGV)
How long have you lived in the RGV?
Current Occupation/Job Title:
Employer/Organization:
Highest Level of Education obtained
Have you previously served on a scholarship review committee, selection board, or panel?
Have you previously volunteered with RGV Gives Back or served as a sponsor for any RGV Gives Back event? If yes, please explain which event(s) and your role.
Please briefly explain why you would like to serve on the RGV Gives Back Scholarship Review Committee
Do you have any potential conflicts of interest (e.g. relatives applying for the scholarship, employment at an institution benefiting directly)? If yes, please explain.
Preferred method of contact
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