The purpose of the Alumni Association Executive Board (AAEB) is to lead and represent alumni and current students in a mutually beneficial relationship with the College which results in a lifelong commitment of support.
The AAEB annually elects new members from among all candidates who have submitted an Interest Form. Board membership is diverse, and members are chosen based on criteria of class year, geographic area, affinity group associations, interests, and relationship with the College. Candidates remain in a pool for consideration over a three-year period.
Serving on the Lycoming College Alumni Association Executive Board is a prestigious role, and one that is greatly appreciated by the College. Such service also comes with certain expectations. Members are required to attend the Board's spring and fall meetings and to be active participants on one of the three committees of the Board. Attendance at Homecoming/Reunion Weekend and local alumni events is expected, as is participation in the College's Lycoming Fund to the degree that each member is able.
If you are interested in serving on the AAEB, please complete and submit the following form. Please contact the Office of Alumni Relations with any questions: alumni@lycoming.edu. Thank you for your interest!
* Title -------- Mr. Ms. Mrs. Rev. Dr.
* First Name
* Last Name
Maiden Name
Nickname
* Address
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* Country Choose a country ... United States of America Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Ashmore & Cartier Islands Australia Austria Azerbaijan Bahamas Bahrain Baker Island Bangladesh Barbados Bassas Da India Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Bosnia & Herzegovina Botswanna Bouvet Island Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verdi Cayman Islands Central African Republic Chad Chile China Christmas Island Clipperton Island Cocos (keeling) Islands Columbia Comoros Congo, Democratic Rep Of Cook Islands Coral Sea Islands Costa Rica Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Gloriosa Islands Great Britain Greece Greenland Grenada Guadeloupe Guam Guatamala Guernsey Guinea Guinea-bissau Guyana Haiti Honduras Hong Kong Howland Island Hungary Iceland India Indonesia Iran Iraq Israel Italy Ivory Coast Jamaica Jan Mayen Japan Jarvis Island Jersey Johnston Atoll Jordan Juan De Nova Island Kazakstan Kenya Kingman Reef Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Malawi Malaysia Maldives Mali Malta Man, Isle Of Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Midway Islands Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palmyra Atoll Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Republic Of Ireland Reunion Romania Russia Rwanda Saint Helena Saint Kitts & Nevis Saint Pierre & Miguelon Saint Vincent & The Grenadines Samoa San Marino Sao Tome & Principe Saudia Arabia Senegal Serbia & Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Spratly Islands Sri Lanka St. Lucia Sudan Surinam Svalbard Swaziland Sweden Switzerland Switzerland Syrian Arab Republic Taiwan Tajikistan Thailand Togo Tokelau Tonga Trinidad & Tobago Tromelin Island Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine Un Rep Of Tanzania Union Sov Soc Repub United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands Wake Island Wales West Germany Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe
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* Phone #(555) 555-5555
Cell #(555) 555-5555
* E-mail
Please indicate if this is a new address and phone number:
Occupation/Title
Company/ Organization
Address
City
Country Choose a country ... United States of America Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Ashmore & Cartier Islands Australia Austria Azerbaijan Bahamas Bahrain Baker Island Bangladesh Barbados Bassas Da India Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Bosnia & Herzegovina Botswanna Bouvet Island Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verdi Cayman Islands Central African Republic Chad Chile China Christmas Island Clipperton Island Cocos (keeling) Islands Columbia Comoros Congo, Democratic Rep Of Cook Islands Coral Sea Islands Costa Rica Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Gloriosa Islands Great Britain Greece Greenland Grenada Guadeloupe Guam Guatamala Guernsey Guinea Guinea-bissau Guyana Haiti Honduras Hong Kong Howland Island Hungary Iceland India Indonesia Iran Iraq Israel Italy Ivory Coast Jamaica Jan Mayen Japan Jarvis Island Jersey Johnston Atoll Jordan Juan De Nova Island Kazakstan Kenya Kingman Reef Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Malawi Malaysia Maldives Mali Malta Man, Isle Of Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Midway Islands Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palmyra Atoll Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Republic Of Ireland Reunion Romania Russia Rwanda Saint Helena Saint Kitts & Nevis Saint Pierre & Miguelon Saint Vincent & The Grenadines Samoa San Marino Sao Tome & Principe Saudia Arabia Senegal Serbia & Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Spratly Islands Sri Lanka St. Lucia Sudan Surinam Svalbard Swaziland Sweden Switzerland Switzerland Syrian Arab Republic Taiwan Tajikistan Thailand Togo Tokelau Tonga Trinidad & Tobago Tromelin Island Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine Un Rep Of Tanzania Union Sov Soc Repub United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands Wake Island Wales West Germany Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe
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Zip
Phone #(555) 555-5555
Lycoming Degree
Class Year
Major(s)
Minor(s)
Campus Activities/ Organizations, Greek Affiliation, Athletic Teams
Degree(s) earned from other academic institution(s)
Military Service
Marital Status --------------- Married Widow/Widower Divorced Single
Spouse or Partner's Name
Date of Marriage
Spouse or Partner's College
Children (names, ages, schools attended)
Personal interests, activities and hobbies
Clubs and professional organizations
Honors, accomplishments and civic offices held
Who are the Lycoming College friends and/or classmates that you keep in touch with?
What Lycoming College events do you regularly attend on or off campus?
If yes, how are you serving the College? (ex: Regional events, reunion committee, admissions recruitment, internships, career mentor, etc.)?
Why do you wish to serve on the AAEB?
What professional skills and/or personal attributes do you feel would make you a strong contributing member of the AAEB?
Is there any other information that you would like to share with us?