Alumni Executive Board
Application for Participation 2019
Please type or print legibly.
Name___________________________________________________
Address_____________________________________________
E-Mail __________________________________________________
Cell ___________________________ Year of Graduation ___________
Campus Attended ________________ Degree(s) Received ____________
Profession and Employer _____________________________________
_______________________________________________________
Community Involvement _____________________________________
_______________________________________________________
What are some of your favorite memories from your student experience at
Wayland? _______________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
How have you stayed connected to Wayland since you graduated?
_______________________________________________________
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