NEOMED Alumni Board Interest Form | Northeast Ohio Medical University

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?*
ivities are you willing to help with and participate in?*
Would you be willing to meet with the Director of Alumni Relations to learn more about the Alumni Association Board of Directors?*
- Yes
- No
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Phone
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