Alumni Club Interest Form
This form is for individuals who are interested in starting a Road Scholar alumni club in their area.
Are you a Road Scholar Ambassador?
*
Yes
No
How long have you been a Road Scholar Ambassador?
*
Where do you live?
*
Are you willing and able to lead the club efforts in person?
*
Yes
No
Do you know if you have interested individuals who would help with the club? (E.g. other Ambassadors, family/friends, other Road Scholar participants.)
*
Yes
No
Maybe
Why are you interested in starting an alumni club?
*
Anything else we should know about you?
Submit
Should be Empty: