Alumni Board of Directors Interest Form

Interested in becoming involved in the NEOMED Alumni Association Board of Directors or have a fellow alumnus/a in mind who would be a good representative?

Name*
Prefix First Last Suffix
Class Year*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Cell Phone
Email*
Employer*
Why are you interested in taking a more active role in the Alumni Association?*
Which area(s) of focus interest you the most?*
- Select All
- Student outreach
- Alumni recognition
- Alumni engagement and professional development
- Philanthropy
What is one idea you have to better engage NEOMED alumni with the Alumni Association and the University?*
Are you willing to attend three meetings each year (fall, winter, spring), including one meeting on the NEOMED campus?*
- Yes
- No
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Phone
This field is for validation purposes and should be left unchanged.

Contact Us

Carrie Circosta
Senior Director, Alumni Relations and Major Gifts
330-325-6664
alumnioffice@380cebbe0d.nxcli.io