Thank you for considering being a part of our DEI initiatives and planning. We look forward to having alumni leadership as part of our committee. Please submit this application before September 2022 so we can give you a timely response.

Required

Alumnus Namerequired

First Name

Last Name

Email Addressrequired

Other graduate year

Must contain only numbers

Current Schoolrequired

Do you have prior experience with diversity, equity, and inclusion initiatives and work? If so, please describe in detail.required0 / 1000

What kind of impact would you like to make while serving on the DEI Committee? required0 / 1000

Can you commit to serving on the DEI Committee for the full academic year (September 2022 to June 2023)?required

Yes

No

Yes, with exception

Can you attend two virtual meetings a month on Wednesdays from 3:30-4:30 p.m. PST?required

Yes

No

Yes, with exception

By submitting this form you agree that you are submitting this application on your behalf and that all the information provided on this application are accurate.required

I agree

DEI Committee Alumni Application