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Alumni Council
The Augustana Academy
Augustana University
Viking Bold Strategic Plan
Viking Bold Campaign
Connect
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Class Agent Interest Form
Class Agent Interest Form
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Thanks for your interest in serving as a class agent!
You may apply as an individual, pair or group. If you're applying as a pair or group, please share your partner(s)'s name(s) below and answer questions for yourself. Each person in your group should fill out an interest form.
Your Information
First Name
Last Name
Maiden Name:
Alumni Class Year:
Your Contact Info
Address 1:
Address 2:
Address 3:
City:
State:
Please Choose
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Armed Forces America
Armed Forces Europe
Armed Forces Pacific
Canal Zone
District of Columbia
Guam
Marshall Islands
Northern Mariana
Puerto Rico
Virgin Islands
Non-US/International
Zip:
Cell Phone Number:
Primary E-mail Address
Applying as a Group
If you are applying as a group, please list who you wish to serve with. Class Agent Pair/Group:
Please have each person fill out the form individually.
About You
Current Employer and Job Title
Major(s) at Augustana
What activities/organizations were you involved in while attending Augustana?
What activities/organizations are you currently involved in?
What interests you about becoming a class agent?
What do you feel will be your best contribution as a class agent?
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