’67 Society Interest Form | Wright State Alumni Association

First name *

Last name *

Email *

Cell phone *

Major or professional interest *

Projected graduation date *

Month

Day

Year

Polo and T-shirt size *

Why are you interested in joining ’67 Society? *

Leadership Roles in ’67 Society

Wright Pilots (Executive Board)
Executive Director, Director of Alumni Engagement, Director of Philanthropy, Director of Internal Relations, Director of External Relations
Wright Captains (Committee Positions) TBD

Are you interested in a leadership position within the ’67 Society? *

Yes

No

Please list your Top 3 Preferred Leadership Roles

(you do not have to take on a leadership role to be a ’67 Society member)

Are you involved with any other student organizations on campus?

Yes

No

Please list any student organizations you are involved with on campus

Do you have any leadership positions within those organizations?

Yes

No

Please list these roles

How many credit hours do you typically take during the semester?

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Leadership Roles in ’67 Society

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