SimpleForms :: Application for Membership to the Tech Golden Bear Alumni Association Board of Directors

Application for Membership to the Tech Golden Bear Alumni Association Board of Directors

By submitting this application for membership to the Tech Golden Bear Alumni Association Board of Directors, I affirm that I have read and understand the association's constitution and by-laws. Further, I agree to fulfill my duties in accordance with the constitution and by-laws should I be selected to serve as a member of the Board.

Name
First
required

Name
Middle/Maiden
required

Name
Last
required

Address Line 1

required

Address Line 2

City

required

State

required

Zip Code

required

Example: 12520

Phone

required

Example: (555) 555-5555

Primary E-mail

required

Example: dmolsen@hotmail.com

Secondary E-Mail

Example: dmolsen@hotmail.com

Facebook or LinkedIn accounts

Tech Degree(s)

required

Tech Minor(s)

required

Class Year

required

Are you currently a member of the Tech Golden Bear Alumni Association (i.e. paid annual dues for this fiscal year, January 31 – December 1, or lifetime membership)?

Are you currently a member of the Tech Golden Bear Alumni Association (i.e. paid annual dues for this fiscal year, January 31 – December 1, or lifetime membership)?
Dues may be paid online at www.wvutech.edu/alumniassociation
required

Yes
No

Please explain why you wish to serve on the Tech Golden Bear Alumni Association Board of Directors.

required

List your hobbies or interests, professional accomplishments, community activities, and any involvement with WVU Tech since graduation.

required

WVU's SimpleForms

Application for Membership to the Tech Golden Bear Alumni Association Board of Directors