Nomination Application

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Advisory Council Nomination Application

Please complete the application by Friday, July 14, 2017. Incomplete application will not
be accepted. If you have any questions, please contact Zandra Henderson at
713-718-6202 or alumni@hccsfoundation.org.

Complete the information below

Applicant/Nominee Information

First Name*

Last Name*

Street Address*

City*

State*

Zip Code*

Phone*

Email*

Date of Birth*

Year of Graduation or number of credits earned*

Major*

Employer*

Current Title/Occupation*

Applicant/Nominee (Must be completed by nominee)

Please explain why you are interested in serving on the Advisory Council.

*

Please outline your current or past Houston Community College affiliations such as an alumni or student, including advisory boards, organizations and etc.

*

What would you like to accomplish as a member of the Advisory Council?

*

Please describe two ideas that you would like to bring to the Advisory Council. They can be ways to increase visibility in the community, ways to engage alumni or an area of your choice.

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List any personal interests and hobbies that you would like to share with us.

*

Please email a copy of your resume to alumni@hccsfoundation.org before the due date.