First Name
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Last Name
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RSPH Class Year
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RSPH Department
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Select all those that apply. i.e. EH/EPI
Degree
Telephone Number
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Phone
Email Address
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Address1
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Address2
Address3
City
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State/Province
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Country
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Employer Name
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Title
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Please describe the scope of your current position
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Please share any current or past volunteer service to Rollins, Emory or the community
Please list any awards or recognition you have received for your work in public health
Please list any personal interests or hobbies
Please tell us why you would like to serve as a member of the RSPH Alumni Board. Include particular contributions, skills or insights you would bring to the board.
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Our board members are quite active, attending six board meetings per year and one committee meeting a month. How much time are you hoping to devote to board-related activities and innovation?
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If selected to serve on the Board, what do you believe the Board's top priority(ies) should be?
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Additional comments/thoughts you would like to share
Resume/CV and Supporting Documents
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Please add your Resume/CV or any supporting documents.
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