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First Name

 

Middle Initial/Name

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Last Name

 

Maiden Name

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Address Line 1

 

Address Line 2

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City

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State

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Best phone number

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Phone Type

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Best Email Address

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Employer

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Position

 

Prior Board Experience (Type of Board, Position(s) held, Years)

 

List your volunteer roles in the community.

Education

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Dates at Graceland

 

Degree

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Major

 

Campus Leadership Roles

 

Other Degrees Earned

Please write a brief paragraph for each question.

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How would you describe your Graceland Experience?

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What interests you the most about possibly joining the Graceland Alumni Board?

Family

 

Spouse Name

 

Is your spouse a Graceland Alumnus?

 

Years at Graceland

Children

Child #1

 

Name

 

Birthdate

 

Years at Graceland

Child #2

 

Name

 

Birthdate

 

Years at Graceland

Child #3

 

Name

 

Birthdate

 

Years at Graceland

Child #4

 

Name

 

Birthdate

 

Years at Graceland

Child #5

 

Name

 

Birthdate

 

Years at Graceland

Child #6

 

Name

 

Birthdate

 

Years at Graceland