Interest Form - UGA Alumni Association

Black Alumni Affinity Group

Full Name
School/College, Degree, and graduation year(s):
Non UGA degree(s)/certifications:
Current Occupation
Current City/State:
Email Address
Phone Number
Please list any professional, civic, community memberships, recognition and awards:
What has been your involvement with UGA since graduation?
Are you currently, or have you previously served on any UGA boards or committees? If so, please list:
Reason for interest (200 word limit): Please highlight your desire to serve UGA, unique qualifications that should be considered, and current or past leadership roles at UGA and otherwise.