Alumni Advisory Council Application

Name(Required)

First Last

Last name while at Concordia (if different)

Cell Phone(Required)

Email(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Education

I am a(Required)

Traditional Undergraduate Alumnus/a

Adult Undergraduate Alumnus/a

Graduate (Master’s or Doctoral) Alumnus/a

Multiple degrees Alumnus/a

Current Student

Graduation Year(Required)

Degree Program and/or Major(Required)

Additional Graduation Year(s)

Additional Degree(s)/Program(s)

Employment Information

Employment(Required)

Employed

Not currently employed

Retired

Employer

Current position/role

Do you have internship experience?

Yes

Internship role

Application Questions

As a CSP student, what activities were/are you involved in?(Required)

Describe any church, organization, school or community service in which you are involved.(Required)

Why are you interested in serving on the Alumni Advisory Council?(Required)

What unique gifts/talents can you bring to the Alumni Advisory Council?(Required)

As a member of the Alumni Advisory Council you would serve on one of six committees: Awards, Communications, Developing Connections, Membership, Philanthropy or Student & Alumni Connections. Click here to view the job descriptions in another window.

Please indicate the committees you are most interested in below.

First Choice Committee(Required)

Second Choice Committee(Required)

Third Choice Committee(Required)

Are you interested in serving as a committee chair?(Required)

Yes

Not sure

Confirmation

Please check to confirm:(Required)

I am able to actively participate in the summer kick-off event and scheduled committee meetings

Please check to confirm:(Required)

I agree to serve on a committee and fulfill the purpose of selected committee’s plan

Signed(Required)

Date(Required)