UCR Alumni Association
Board of Directors Application

Applicant must be a graduate of UCR and a member of the UCR Alumni Association.
Please feel free to attach a current resume.

Date:

Full Name: Class Year:
Name on student records:
Address Preference: Residence Business
Residence Address:  
City: State: Zip:
Residence Phone: Fax Number:
Business Name: Business Title:
Business Address:  
City: State: Zip:
Business Phone: Fax Number:
Work Email: Use this email
Personal Email: Use this email
Degrees Received:
Institution: Degree: Major: Year:
Institution: Degree: Major: Year:
Institution: Degree: Major: Year:
Undergraduate/Graduate Activities (clubs, honors, offices held):

University involvement since graduation:

Personal Activities:

Community Activities:

Honors, achievements, awards:

Why would you like to serve on the UCR Alumni Association Board of Directors?

Areas of interest/expertise (check all that apply)

Administration Finance/Accounting Marketing/Sales
Advertising Fund Raising Public Relations
Arts Government Special Events
Education Legal Other:

Which board committees are of interest to you? (check all that apply)

Alumni Awards Program Student scholarships and awards
Legislative Advocacy Student Recruitment
Chapter Development Membership and Marketing

What special qualities would you bring to the Alumni Association?

May we use your application information in our alumni publications? YES NO

Signature: Date:

Mail complete application to:
Nominations Committee
UCR Alumni Association
University of California
Riverside, CA 92521-0110

or send via fax to: (951) 827-3186