Start or renew an Alumni Sustaining Membership
Step 1 of 2
GENERAL INFORMATION
First name:
Maiden (if applicable):
Last:
Member number
(if known):
Where do I find my member number?
Primary email:
Secondary email:
Address (line 1):
Address (line 2, optional):
City:
State:
ZIP:
Phone:
UNDERGRADUATE INFORMATION
College/university where initiated:
Year initiated into Mortar Board:
Year of graduation from undergraduate institution:
POST-GRADUATE INFORMATION
Please use the fields below to list any postgraduate education you have completed or are in the process of completing.
Post-graduate institution
Field of study
Degree obtained (and year)
EMPLOYMENT INFORMATION
Current employer:
Job title/position:
SPOUSE INFORMATION
(if applicable)
Spouse first name:
Last name:
Spouse employer:
Position/title:
ADDITIONAL INFORMATION
Is there any additional information you would like to share with Mortar Board at this time, such as major life events, awards/accomplishments, etc.?
INVOLVEMENT/OPPORTUNITIES
The Career and Graduate School Network is a networking opportunity developed to assist members and alumni in learning more about certain career fields or graduate schools in specified geographic areas. If you choose to share your information with the Career and Graduate School Network, Mortar Board members who wish to learn more about a career or field of study that matches your criteria and geographic location may be given your basic contact information to learn more about your experiences. It is not a job placement service, but an opportunity to network with Mortar Board members and make contact with people in the work environments of interest. Information is only shared with Mortar Board members who request the information for a certain career field, geographic area or graduate school.
I would like my information to be shared with others as a part of the Career Network
I would like my information to be shared with others as a part of the Graduate School Network
Are you interested in getting more involved with Mortar Board or taking advantage of certain opportunities? Please check all that you may be interested in below and Mortar Board will contact you with information on those topics.
Joining a national committee
Becoming a board member (on either the
National Foundation
or
National Council
)
Becoming a chapter advisor
Becoming a
section coordinator
Joining an existing alumni chapter
Assisting in the planning of special events such as regional alumni events and the national conference
Starting a new alumni chapter
Starting a new collegiate chapter
CHAPTER DONATION
I would like 20 percent of my membership to go to the following type of chapter:
Collegiate chapter
Alumni chapter
Name/location of chapter I wish to receive my donation:
