Alumni Intake Form

If you have a general question about getting more involved with Clark University, want to share feedback or an event idea, or if you’re interested in serving on the Alumni Council, GOLD Council, or alumni Affinity Associations, please fill out this interest form or email alumni@clarku.edu. Interested in more than one opportunity? Please fill out a fresh form.

Reason for Inquiry:(Required)

Volunteer Opportunities

Alumni Council

GOLD Council

Clark Black Alumni Association

Clark LGBTQ+ Alumni Association

General Inquiry/Question

Alumni Engagement Idea

Alumni Feedback

Volunteer Opportunities Interest Form

Volunteer Interests

What sorts of volunteer opportunities are you interested in? Select all that apply:(Required)

Admissions support

Career Connections Center support

Mentoring Clark students

Move-In Day volunteering (annually in mid- to late-August)

Event planning and promotion

Fundraising help/advocacy

Sit on a panel of alumni (virtual or in-person at Clark U)

Other (Please specify)

Other Volunteer Interest

Would you be interested in hosting your own alumni meet-up in your city?(Required)

Yes

Maybe

Name(Required)

Pronouns

Class Year(Required)

Major(s) / Minor(s)(Required)

Email(Required)

Phone(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title

Organization

LinkedIn Profile

Alumni Council Interest Form

Serving on the Alumni Council involves a nomination and voting process. Please provide some basic information and a member of the Clark staff or Alumni Council member will reach out to you.

Have you served on the Alumni Council or Alumni Association Board in the past, or have you volunteered for Clark previously?(Required)

Yes

Don't Recall

If Yes, please elaborate:

Name(Required)

Pronouns

Class Year (Please include your graduate year if applicable)(Required)

Major(s) / Minor(s)(Required)

Email(Required)

Phone(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title

Organization

LinkedIn Profile

GOLD Council Application / Interest Form

The GOLD (Graduates of the Last Decade) Council is for alumni within 10 years of their undergraduate degree from Clark. Please fill out the application and a member of the staff or GOLD Council will reach out to you.

Name(Required)

Pronouns

Email(Required)

Class Year (Please include your graduate year if applicable)(Required)

Major(s) / Minor(s)(Required)

Engagement Interests

What sorts of opportunities are you interested in? Select all that apply:(Required)

Serve on GOLD Council

Event planning and promotion

Sit on a panel of alumni (virtual or in-person at Clark)

Wherever I'm needed!

Other (please specify)

Other

Would you be interested in hosting your own alumni meet-up or event in your city?(Required)

Yes

Maybe

Demographic Questions

The GOLD Council is committed to enhancing Clark’s efforts toward diversity, equity, and inclusion. Please answer the following questions to help us ensure that the GOLD Council represents the larger Clark alumni community.

Ethnicity(Required)

Where are you from?(Required)

City State / Province / Region Country

Additional Identity / Experience Questions

Help us enrich the diversity of our groups! Select any identities that can aid in serving your needs or the needs of the Clark community. (This section is voluntary and you can select more than one)

LGBTQIA+

Neurodiverse

Spiritual / Religious (Faith Practice)

First Generation Student / Graduate (first in immediate family to graduate from college)

International Student

Study Abroad

Other(s):

How do you identify?

Feel free to share any information to clarify:

Specify:

Country of Origin:

Country(ies):

(Please Share)

Are you wanting to apply to join the GOLD Council?

Yes

GOLD Council Questions

Please list all of your involvement during your time at Clark. These could include leadership positions, clubs, organizations, part-time jobs, etc.(Required)

In no more than 250 words, why do you want to join the GOLD Council?(Required)

In no more than 250 words, what are your top 3 goals for the GOLD Council?(Required)

What is your potential availability to dedicate to the GOLD Council (e.g. 4-5 hours/month)?(Required)

Utilize this space to share any feedback, ideas, or any additional information we need to know more about you / your application.

Clark Black Alumni Association Application / Interest Form

The Clark Black Alumni Association (CBAA) seeks to affirm, enrich, and serve the Black experience at and beyond the University. The group’s objective is to support the development and growth of the institution’s Black alumni. A hallmark of the group is to foster connections and networking across generations. Please fill out the application and a member of our staff will reach out to you.

Name(Required)

Pronouns

Email(Required)

Class Year (Please include your graduate year if applicable)(Required)

Major(s) / Minor(s)(Required)

Engagement Interests

What sorts of volunteer opportunities are you interested in? Select all that apply:(Required)

Serve on CBAA Leadership

Join CBAA email list for event and community updates

Event planning and promotion

Sit on a panel of alumni (virtual or in-person at Clark)

Wherever I'm needed!

Other (please specify)

Other Volunteer Interest

Would you be interested in hosting your own alumni meet-up or event in your city?

Yes

Maybe

Demographic Questions

Alumni & Friends Engagement is committed to enhancing Clark’s efforts toward diversity, equity and inclusion. Please answer the following question to help us improve alumni engagement and maintain accurate data.

Ethnicity(Required)

Where are you from?(Required)

City State / Province / Region Country

Additional Identity / Experience Questions

Help us enrich the diversity of our groups! Select any identities that can aid in serving your needs or the needs of the Clark community. (This section is voluntary and you can select more than one)

LGBTQIA+

Neurodiverse

Spiritual / Religious (Faith Practice)

First Generation Student / Graduate (first in immediate family to graduate from college)

International Student

Study Abroad

Other(s):

How do you identify?

Feel free to share any information to clarify:

Specify:

Country of Origin:

Country(ies):

(Please Share)

Are you wanting to apply to join the CBAA Leadership?

Yes

CBAA Leadership Questions

Please list all of your involvement during your time at Clark. These could include leadership positions, clubs, organizations, part-time jobs, etc.*(Required)

In no more than 250 words, why do you want to join the CBAA Leadership?(Required)

In no more than 250 words, what are your top 3 goals for the CBAA Leadership?(Required)

What is your potential availability to dedicate to the CBAA Leadership (e.g. 4-5 hours/month)?(Required)

Utilize this space to share any feedback, ideas, or any additional information we need to know more about you / your application.

Clark LGBTQ+ Alumni Association Application / Interest Form

The Clark LGBTQ+ Alumni Association (CLAA) is committed to the integration of personal and community power to affirm, liberate, support, and celebrate LGBTQ+ Clarkies. We aim to build solidarity among LGBTQ+ Clark alumni and students, to provide positive experiences and brave spaces on and off campus, and to advocate for current LGBTQ+ Clark students. Please fill out the application and a member of our staff will reach out to you.

Name(Required)

Pronouns

Email(Required)

Class Year (Please include your graduate year if applicable)(Required)

Major(s) / Minor(s)(Required)

Engagement Interests

What sorts of volunteer opportunities are you interested in? Select all that apply: *(Required)

Serve on CLAA Leadership

Join CLAA email list for event and community updates

Event planning and promotion

Sit on a panel of alumni (virtual or in-person at Clark)

Wherever I'm needed!

Other (please specify)

Other Volunteer Interest

Would you be interested in hosting your own alumni meet-up or event in your city?(Required)

Yes

Maybe

Demographic Questions

Ethnicity(Required)

Where are you from?(Required)

City State / Province / Region Country

Additional Identity / Experience Questions

Help us enrich the diversity of our groups! Select any identities that can aid in serving your needs or the needs of the Clark community. (This section is voluntary and you can select more than one and specify)

LGBTQIA+

Neurodiverse

Spiritual / Religious (Faith Practice)

First Generation Student / Graduate (first in immediate family to graduate from college)

International Student

Study Abroad

Other(s):

How do you identify?

Feel free to share any information to clarify:

Specify:

Country of Origin:

Country(ies):

(Please Share)

Are you wanting to apply to join the CLAA Leadership?

Yes

CLAA Leadership Questions

Please list all of your involvement during your time at Clark. These could include leadership positions, clubs, organizations, part-time jobs, etc.(Required)

In no more than 250 words, why do you want to join the CLAA Leadership?(Required)

In no more than 250 words, what are your top 3 goals for the CLAA Leadership?(Required)

What is your potential availability to dedicate to the CLAA Leadership (e.g. 4-5 hours/month)?(Required)

Utilize this space to share any feedback, ideas, or any additional information we need to know more about you / your application.

General Inquiry/Question

Name(Required)

Pronouns

Email(Required)

Class Year (Please include your graduate year if applicable)(Required)

Inquiry / Question Subject(Required)

Inquiry / Question(Required)

Event / Engagement Idea

Name(Required)

Pronouns

Email(Required)

Class Year (Please include your graduate year if applicable)(Required)

Idea / Initiative Type(Required)

Event

Engagement

Programming

Other

Idea / Initiative Subject(Required)

Idea / Initiative Description(Required)

Alumni Feedback

Name(Required)

Pronouns

Email(Required)

Class Year (Please include your graduate year if applicable)(Required)

Feedback Subject(Required)

Feedback(Required)

Phone

This field is for validation purposes and should be left unchanged.

Get Involved, ask Questions or Share Feedback

Volunteer Opportunities Interest Form

Volunteer Interests

Alumni Council Interest Form

GOLD Council Application / Interest Form

Engagement Interests

Demographic Questions

Additional Identity / Experience Questions

GOLD Council Questions

Clark Black Alumni Association Application / Interest Form

Engagement Interests

Demographic Questions

Additional Identity / Experience Questions

CBAA Leadership Questions

Clark LGBTQ+ Alumni Association Application / Interest Form

Engagement Interests

Demographic Questions

Additional Identity / Experience Questions

CLAA Leadership Questions

General Inquiry/Question

Event / Engagement Idea

Alumni Feedback