2025 Alumni Council Election - Ballot Nomination Form

Alumni Council Ballot Nomination Form

The Penn State Alumni Association is an IRS classified 501(c)(3) organization. The Alumni Association’s mission is to connect alumni to the University and to each other, to provide valued services to members, and to support the University's mission of teaching, research, and service.

Led by a professional staff, the Penn State Alumni Association is governed by its Alumni Council, which holds fiduciary responsibility (duty of care, loyalty, and obedience) to the Alumni Association and is responsible for strategic support and oversight, to ensure the furtherance of the Alumni Association's mission, values, and strategic plan.

Please fill out this form to be considered for inclusion on the 2025 Alumni Council elections ballot for a three-year term beginning July 1, 2025 if elected. Questions marked with (*) are required. If you require additional assistance in filling out this form, please contact Tom Hammond at tch114@psu.edu.

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* 1. Name

First Name

Last Name

If Different, Last Name While Attending Penn State

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* 2. Preferred Email address

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* 3. Service on the Alumni Council involves a time commitment of at least 2-4 hours per month in addition to a total of 2 Council meetings, which occur over 2-weekdays each (Fall and the Annual/Spring meeting) held at the University Park campus. Funding is NOT provided for travel or lodging. Remote participation is made available. Please indicate your availability and capacity to fulfill the requirements of an Alumni Council member if elected:

Yes, I am available and able to fulfill the requirements of an Alumni Council member.

No, at this time, I am unable to fulfill all or some of the requirements of an Alumni Council member.

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* 4. I have read and understand the Bylaws and Strategic Plan of the Penn State Alumni Association.

Yes

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* 5. Serving on Alumni Council requires active membership in the Penn State Alumni Association. Please indicate your membership status. If you are unaware of your membership status, you can contact our data access unit 800-548-LION (5466)

Annual Member

Life Member

Not a Member (Note: membership in the Penn State Alumni Association is a requirement to be eligible for a position on the 2025 Alumni Council Election ballot. If you are not a current member and intend to participate in the election, you must become a member prior to the January 15, 2025 nomination form deadline date. Membership can be purchased here)

I have limitations concerning my ability to become a member

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* 6. Current Mailing Address

Street

Apartment/Suite/Unit

City/Town

State

Zip Code

Country

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* 7. Telephone

Mobile

Home

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* 8. Preferred Pronouns

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* 9. Year(s) Attended Penn State

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* 10. Major(s)

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* 11. Penn State Degree(s)

Associate's

Bachelor's

Master's

Doctorate or Professional

Non-Degree

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* 12. After reviewing the Alumni Association’s current strategic plan, what skills and competencies would you bring to achieve the strategic plan priorities, and, in doing so, advance the Alumni Association? [maximum 1,000 characters]

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* 13. Please list and describe any previous and/or current 501(c)(3) board experience (include dates and positions held). [maximum 1,000 characters]

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* 14. Why do you wish to serve on the governing board of the Alumni Association? [maximum 1,000 characters]

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* 15. Please list your history of volunteer service to Penn State inclusive of student leadership experiences, Alumni Association experiences (e.g. chapter, AIG, college or campus society, APG, past Alumni Council service), and non-Alumni Association University volunteer service. Please include dates and officer positions held. [maximum 1,000 characters]

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* 16. Please list any history of non-Penn State community volunteer service (include all dates and officer positions held). [maximum 1,000 characters]

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* 17. Penn State Alumni Association Diversity Statement: The Penn State Alumni Association is committed to fostering a diverse and inclusive membership, one where all identities, experiences, and backgrounds come together to create a strong and welcoming alumni community representative of the Penn Staters it proudly serves.

How would you use your talents and skills to support the Alumni Association in promoting and implementing its Diversity Statement and building belonging among Penn Staters? Provide example(s) from any of your current or previous roles in your professional or volunteer work that show how you have supported diversity, inclusion, and belonging. [maximum 1,000 characters]

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* 18. Please include any additional information that may be helpful to the Nominating Committee in assessing your desire to serve on Alumni Council, e.g., military service; paid/unpaid work or internships with non-profit, social service, or philanthropic organizations; paid/unpaid work in or service to education; other service to Penn State and/or the Alumni Association; awards and other recognition and accolades. [maximum 1,000 characters]

*Submit either a LinkedIn URL or a résumé, bio, or similar document.

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* 19. Résumé, Bio, or other Supporting Document

PDF, DOC, DOCX file types only.

Choose File

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* 1. Name

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* 2. Preferred Email address

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* 4. I have read and understand the Bylaws and Strategic Plan of the Penn State Alumni Association.

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* 5. Serving on Alumni Council requires active membership in the Penn State Alumni Association. Please indicate your membership status. If you are unaware of your membership status, you can contact our data access unit 800-548-LION (5466)

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* 6. Current Mailing Address

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* 7. Telephone

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* 8. Preferred Pronouns

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* 9. Year(s) Attended Penn State

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* 10. Major(s)

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* 11. Penn State Degree(s)

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* 12. After reviewing the Alumni Association’s current strategic plan, what skills and competencies would you bring to achieve the strategic plan priorities, and, in doing so, advance the Alumni Association? [maximum 1,000 characters]

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* 13. Please list and describe any previous and/or current 501(c)(3) board experience (include dates and positions held). [maximum 1,000 characters]

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* 14. Why do you wish to serve on the governing board of the Alumni Association? [maximum 1,000 characters]

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* 16. Please list any history of non-Penn State community volunteer service (include all dates and officer positions held). [maximum 1,000 characters]

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* 19. Résumé, Bio, or other Supporting Document

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* 20. LinkedIn URL