UCR Chicano Latino Alumni Board of Directors Application
Deadline to submit is February 9, 2018 at 12:00 pm Pacific Daylight Time.
Personal
Full Name (Last, First) *
Your answer
Name on student records if different from above
Your answer
Are you a (check all that apply): *
Required
Address (Street, City, State, Zip) *
Your answer
Phone number *
Your answer
Preferred email address *
Your answer
Occupation/Profession
Occupation/Profession *
Your answer
Title *
Your answer
Address (Street, City, State, Zip) *
Your answer
Phone number *
Your answer
Work email address *
Your answer
Which is your preferred email *
Education
Institution 1 (Name, Year, Degree, Major) *
Your answer
Institution 2 (Name, Year, Degree, Major)
Your answer
Institution 3 (Name, Year, Degree, Major)
Your answer
Essay questions
Undergraduate/Graduate activities (clubs, honors, offices held) *
Your answer
University involvement as alumni (optional for student applicants)
Your answer
Community Involvement *
Your answer
Honors, achievements, and awards *
Your answer
Why would you like to serve on the UCR CLA Board of Directors? *
Your answer
Electronic verification
I verify that the information above is accurate and represents me as an applicant for the UCR CLA Board of Directors to be considered for election. *
Required
With the exception of the two *student seats on the CLA Board of Directors, only current UCR Alumni Association dues paying/Lifetime UCRAA members are eligible to become CLA Board Members. (*Students must be currently enrolled at UCR and in good academic standing). I acknowledge this requirement and hereby certify that: *
Required
Notes/Comments
Your answer
May Be Invited to Attend Board Meeting on February 26, 2018
(NOT required for undergraduate and graduate student applicants)
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