Senior Involvement and Activities Form

Senior Activities and Involvement Form

  • All organizations/clubs are listed in alphabetical order. Please list the number of years you have been a member. If you have served as an officer or committee chair/member, please list the number of years you served. If your organization/club is not listed, please use the table at the end of the form, be sure to include the number of years you have participated, and any offices held. Any service activities not listed should also be included in the table.
  • Please list the activity, the numbers of years you were a member, and any officer positions held and the number of years held.