Henderson State University Alumni Board of Directors Interest Form


A term on the board lasts three years unless elected to the office of President, resulting in a five year term consisting of President-Elect, President, and Past President.  The Alumni Board of Directors typically meet four times per year, January, April, July, and October, on the Henderson campus.  You would be expected to attend these meetings.  Every member serves on one of three committees, making recommendations to the board concerning the recipients of awards such as Distinguished Alumni and scholarships, as well as a committee who examines projects that could benefit Henderson and its alumni.  Committee meetings normally require at least one or two meetings a year.  In addition, you would be encouraged to attend many events on campus.  There events are not mandatory, but some are quite rewarding.


If you are interested in serving on the Alumni Board of Directors please submit information via the form below (* designates REQUIRED information).  If you completed the form in January of this year and would like to keep your form active, and none of your information has changed, please send an email, including your full name, year of graduation, and DOB to wrights@hsu.edu with the subject line: ALUMNI BOARD INTEREST-KEEP ACTIVE; otherwise, please complete the form below.  Thank you for your interest.


All Fields Must Be Completed Or Marked N/A


Biographical Information:

Salutation (Click one to select):     If 'Other', specify:  



*Last Name:   *First Name: 

*Birth Date: (MM/DD/YYYY):  / /

Maiden Name:       Former Name: 

*HSU Graduation Year:     *Major:  Degree: 

HSU Graduation Year:     Major:    Degree:  

HSU Graduation Year:     Major:    Degree:  

Name of Spouse:     



Name:  Contact information: 

Name:  Contact information: 

Name:  Contact information: 



Current Home Address:


*City:      * State:       * Zip Code: 

*Telephone Number (include area code, without dashes or parentheses):    

Cell Phone Number (include area code, without dashes or parentheses):  

*E-Mail Address:  

Current Business Information:




City:       State:       Zip Code:  

Work Telephone Number (include area code, without dashes or parentheses):   

Work E-Mail Address:   

Previous Employment Positions: 

Please give exact titles and years in chronological order, beginning with your most recent position.

Employer:    Title:    From:      To:  

Employer:    Title:    From:      To:     

Employer:    Title:    From:      To:  

Employer:    Title:    From:      To:  


Facts About Your Career:




 Colleges and Universities Attended other than HSU(Please provide dates of graduation and degrees earned, including honorary degrees):

School:   Degree:   Year Graduated/Last Attended:  

School:   Degree:   Year Graduated/Last Attended:   

School:   Degree:   Year Graduated/Last Attended:  

School:   Degree:   Year Graduated/Last Attended:   

School:   Degree:   Year Graduated/Last Attended:  


Public Offices Held:

Title:   Location:    From:  To:  

Title:   Location:    From:  To:  

Title:   Location:    From:  To:  


Memberships and Offices in Organizations: (Professional, Civic, etc.)


Military Service:


Highest Rank:  

Type of Duty: 

From:   To:  


Collegiate and Professional Honors and Awards:



*Describe your involvement with Henderson State University and the Alumni Association since graduation:



*List Henderson State University or Alumni functions you have attended in the last five (5) years (i.e. Alumni Gatherings, Homecoming, Theater Productions, Athletic Events, Reunions, etc.):



*Describe your fondest memory of Henderson State University:






Thank you for taking the time to share your information with us!


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