WUMCAA Executive Council Interest Form

Thank you for your interest in WUCMAA’s Executive Council. The council accepts applications year-round. Seats on the council typically open in the spring, and all alumni are eligible to serve. A committee of current council members reviews interest forms and conducts interviews to select alumni who will bring a diverse skill set to the council and help meet the council’s current priorities.

Learn more about the Executive Council.

To be considered for the council, please complete the form below. If you need assistance or have questions, please contact medicaladvancement@wustl.edu or 314-935-2940.

WUMCAA Interest

Name

First

Last

Preferred Phone Number

Preferred Email

City, State

WUSM Graduation Year(s)

Please include degrees earned along with year earned.

WUSM Involvement: If you have been involved in any WUSM activities as a student or alumnus or alumna, please share below.

Community Involvement: If you are a part of any community or professional organizations, please share below.

Why would you like to serve on the WUMCAA council?

Business Title & Company

If not currently employed, please put NA in box. If retired, please put Retired in box.

What qualities or expertise could you bring the WUMCAA council?

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