CHHS Alumni Chapter Board Application Form
MISSION STATEMENT: We are ambassadors of George Mason University that are committed to enhance student and alumni experiences by shaping the future of our diverse public health community.The purpose of this application form shall be to select candidates that demonstrate quality leadership and portray unique strengths/skills that will contribute to the sustainable success of the Alumni Chapter Board and its mission. All applications are reviewed thoroughly by the Recruitment, Membership & Retention committee and our Associate Director of Development. A follow up interview of the candidate may be requested, if necessary. After review, the application shall be brought before the Alumni Chapter Board for a vote of confirmation.
Please fill out the information below about yourself. Your responses will be kept private and only be used in the capacity of your application process to the Alumni Chapter Board.
First and Last Name *
Your answer
Provide an email below that we can keep in touch with you. *
Your answer
Provide a phone number that we can keep on file for you.
Your answer
Provide the year you earned your CHHS degree(s)? *
Your answer
Which CHHS department(s) does your degree reflect? Choose all that apply (ex: multiple degrees) *
Required
Our meetings often occur in the Alumni Association Office on the Fairfax-GMU Campus. Would you be able to commit to commuting to the Fairfax campus for 1 monthly meeting? *
Describe your current profession. *
Your answer
What do you hope to achieve while on the Alumni Chapter Board? Describe what you see our role being as it pertains to the mission of CHHS and its students. *
Your answer
Do you view this opportunity as a chance to increase your alumni relationship with George Mason University? *
The Alumni Chapter Board is currently deciding on having yearly dues. If we did, what amount would you feel comfortable paying? Dues would be dedicated to Alumni Chapter Board activities. *
Describe some strengths/skills you can bring to our Alumni Chapter Board? *
Your answer
Have you previously served on boards/committees which required a monthly commitment? If so, please describe what organization(s) they were and what your role was. *
Your answer
Are you a referral of a current board member? Do you know anyone that sits on the Alumni Chapter Board? If so, please list their names(s).
Your answer
Now that you have told us a little about yourself, please review some of our membership guidelines below. These are expectations we have of ourselves and will have for you, should you decide to join the Alumni Chapter Board.
Members of the Alumni Chapter Board may serve a three (3) year term of office and are eligible to serve one consecutive three (3) year term. No person may be a member of the Board for more than six (6) consecutive years. If a board member has been inactive for six months, without notification, the board may ask the member to resign. Please check the box below to reflect your understanding of the statement above. *
Required
The Alumni Chapter Board will meet in-person monthly, with a call-in/multi-media option. Members will be required to maintain 75% meeting attendance in any given calendar year. Please check the box below to reflect your understanding of the statement above. *
Required
There shall be committees of the Alumni Chapter Board, consisting of one or more members of the Board. Each committee will be led by an appointed Committee (co)Chair, who will be expected to serve in that capacity for one (1) year. Members of the Alumni Chapter Board are expected to sit on at least one (1) of the chapter committees. The committees are as follows: Membership, Recruitment & Retention | Mentoring & Professional Development | Communications & Outreach | Programming & Events | Scholarships. Please check the box below to reflect your understanding of the statement above. *
Required
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