Mesa Community College

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mesacc.edu > Community & Alumni > Alumni Association > Request Your Alumni Card

Alumni Association

Alumni Board/Committee Interest Form

Are you interested in serving on an Alumni Committee or on the Board? Please complete the following form. Thank you for your interest.


Personal Information
First Name Middle Name Last Name
        Maiden Name
Address City State
        Zip Code
Home Phone Email

Business Information
Company Name Job Title    
Address City State
        Zip Code
Work Phone Fax Email

Professional Information
Degree(s) and/or years attended MCC
Please list any student clubs or activities you were involved with while attending MCC.
Please list all degrees held and educational institutions attended.
Please list organizations, community activities, and volunteer service with which you are involved.
Why would you like to serve on MCC's Alumni Board or committees?
What programs and opportunities would you like to see the association continue to support and what new opportunities would you suggest?
What would you like the nomination committee to know about you?
I am interested in serving on the:          please check all that apply Alumni Board  Awards and Recognition 
Chapter and Membership  Homecoming 
Mentoring and Internship         Nominating 
Scholarship 
I would like to recommend for the:
please check all that apply Alumni Board  Awards and Recognition 
Chapter and Membership  Homecoming 
Mentoring and Internship         Nominating 
Scholarship 
 

Marcy Snitzer, Alumni Coordinator: email   |   phone: 480-461-7445   |   fax: 480-461-7383   |   office location: AS 4