Young Professionals Council Application 2015-2016

Thank you for your interest in joining the Young Professionals Council (YPC). YPC is a group of young business leaders who support the Meritus mission through strategic initiatives. The members of the Council represent a diverse mix of backgrounds with a common interest in giving back to the community by supporting low-income youth in pursuit of their higher education and career goals.

1. Full Name *This question is required.

2. Date of Birth *This question is required. This question requires a valid date format of MM/DD/YYYY.

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3. Preferred E-mail Address *This question is required. This question requires a valid email address.

4. Secondary E-mail Address This question requires a valid email address.

5. Preferred Mailing Address *This question is required.

6. Secondary Mailing Address (if applicable)

7. Mobile Phone *This question is required. This question requires a valid number format.

8. Work Phone This question requires a valid number format.

9. Home Phone This question requires a valid number format.

10. Company *This question is required.

11. Job Title *This question is required.

12. Are you affiliated with one or more other nonprofits? *This question is required.

Affiliated nonprofit name

In what capacity are you affiliated?

Employee
Leadership Committee
Volunteer
Other
Comments Please enter an 'other' value for this selection.

Additional affiliated nonprofit name (if applicable)

In what capacity are you affiliated?

Employee
Leadership Committee
Volunteer
Other
Comments Please enter an 'other' value for this selection.

13. LinkedIn URL (We use the Meritus group on LinkedIn as a forum for Scholars, volunteers, donors, business leaders and other members of the Meritus community to connect)

14. If applicable, please list all colleges you have attended for both undergraduate and graduate study.

Space Cell	Institution Name	Major/Area of Study	Degree Earned
College 1	College 1: Institution Name	College 1: Major/Area of Study	College 1: Degree Earned
College 2	College 2: Institution Name	College 2: Major/Area of Study	College 2: Degree Earned
College 3	College 3: Institution Name	College 3: Major/Area of Study	College 3: Degree Earned
College 4	College 4: Institution Name	College 4: Major/Area of Study	College 4: Degree Earned

15. Which of the following fields most describes your current position? *This question is required.

16. What appeals to you most about Meritus' mission? *This question is required.

17. What interests you most about joining the Young Professionals Council? *This question is required.

18. What skills/qualities/experience do you bring that you feel will be most relevant to YPC involvement? *This question is required.

19. For the 2015-2016 year, the goals of the Young Professionals Council include 1) scholarship fundraising, 2) public relations/marketing/video production, 3) business community engagement, 4) planning social and networking events. To achieve these goals, YPC will be divided into 4 subcommittees. Which subcommittee most appeals to you? Why? *This question is required.

20. Are you interested in any other volunteer opportunities with Meritus?

Organizing co-worker/employee engagement
Hosting a workshop for Meritus Scholars
Inviting a Scholar to observe you at work (job shadowing)
Conducting an informational interview for a Scholar in your field
Encouraging your company to host an intern
Providing a facility for Meritus events
Connecting Scholars with volunteer opportunities
Creating a professional development video
Other Please enter an 'other' value for this selection.

21. How did you learn about Meritus? Please share specific names, events, or other referrals. *This question is required.

22. To your knowledge, does your company have any policies acknowledging employee contributions (e.g. corporate matching, volunteerism credit, etc.)? If yes, please describe. Note: The answer to this question is for informational purposes only. It does not impact your ability to participate in YPC.

Young Professionals Council Application 2015-2016

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