Alumni Affinity Group Application Form

To apply to become an official WOU Alumni Affinity Group charter, fill out this form. The Alumni coordinator will reach out to you.

Affinity Group Information
What is the name of the Affinity Group?*
What is the mission/goal/purpose of the Affinity Group? Check all that apply.*
- Select All
- Engagement of the broader WOU community
- Partnering with WOU Foundation development officers to achieve major initiatives or program outcomes.
- Fundraising for discretionary accounts and student scholarships.
- Recruitment of students to WOU and specific programs or demographics.
- Mentorship for current students.
- Development of industry and/or cultural leaders.
- Being a resource for academic and/or student departments and programs.
- Developing liaisons to a specific industry or group.
- Establish career networking opportunities.
- Other:
How many alumni members does your Affinity Group have (or hope to have)?*
Name of the WOU employee representative*

Every Affinity Group must have at least one WOU employee representatives. The representatives can be professors, faculty members or staff.
Name of the WOU Foundation staff partner
Point of contact and member information
Name
First Last
Phone
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
List the names and positions or titles of at least three members/officers/group leaders*
Please submit a list of all member and include their name, class year, phone number and email address. Email the membership list to Emily at lafone@wou.edu.
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Western Oregon University in Monmouth, OR is located within the traditional homelands of the Luckiamute Band of Kalapuya. Following the Willamette Valley Treaty of 1855 (Kalapuya etc. Treaty), Kalapuya people were forcibly removed to reservations in Western Oregon. Today, living descendants of these people are a part of the Confederated Tribes of Grand Ronde Community of Oregon and the Confederated Tribes of the Siletz Indians.

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Alumni Affinity Group Application Form

Affinity Group Information

Point of contact and member information

Please submit a list of all member and include their name, class year, phone number and email address. Email the membership list to Emily at lafone@wou.edu.

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