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Alumni Board Candidate Profile Form

Directions: Use this form to indicate your interest in running for election to a position on the Alumni Board of Directors.  You may print this form and fax it to the Alumni Relations Office at 305-899-3177, or you may submit the information from this page.  Please print a copy of the confirmation page for your records.

(*) Required fields

Biographical Information:

Full Name*:

Class Year*:

E-Mail:

Mailing Address*:

Phone*:    Fax:

Please list current and previous employment information, or submit a resume that would include this information.  If you elect to submit a resume, please print this form and fax, along with supplemental pages, to 305-899-3177.

Employer #1(city/state):

Job Title:

Employer #2(city/state):

Job Title:

Employer #3(city/state):

Job Title:


Short Answer Questions:

1. Please explain why service on the Alumni Board is of interest to you.  What related experience have you had that would be beneficial to Barry and to your service on the Alumni Board?*

2. Please list organizations and activities in which you currently participate: athletic, civic, cultural, educational, professional, religious, volunteer, etc., and any special awards you have received.*

3. If you graduated within the last five years, please list student activities you participated in at Barry University (i.e. Student Government Association, sports, extracurricular, etc). *


AFTER READING THE PRECEDING CRITERIA FOR BOARD SERVICE AND THE DUTIES OF A BOARD MEMBER, PLEASE INDICATE YOUR INTEREST IN BEING CONSIDERED AS A CANDIDATE FOR THE ALUMNI BOARD OF DIRECTORS.

Yes, I understand the above and I'm interested in being considered a candidate for a position on the Alumni Board of Directors.  I am also aware that my profile will remain active for five years from the date listed on the form.

No, I am not interested in being considered a candidate at this time, but please keep my profile on file for future consideration.

No, I am not interested in being considered a candidate for the Alumni Board of Directors, now or in the future.  Please do not add my name to your candidate pool.

Barry University - Alumni
11300 NE 2nd Avenue, Miami Shores, FL 33161-6695
Phone number: 305-899-3175
Toll-free: 1-877-899-ALUM
E-mail: alumni@mail.barry.edu
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