Form Fill | Academic Hall of Fame

Thank you for your interest in becoming a Founding Member of the Advisory Council of Gamma Honors & The Academic Hall of Fame, Inc. The Advisory Council is composed of accomplished leaders, educators, scholars, professionals, and advocates who support the mission and long-term growth of the organization.

SECTION I – PERSONAL INFORMATION

Full name *

Preferred Title *

Dr.

Prof.

Honorable

Chief

Mr.

Ms.

Others

Professional Credentials

Institution / Organization *

Current Position/Title *

Email *

Telephone *

Mailing Address *

City *

State/Province *

Country *

LinkedIn Profile

Professional Website 

SECTION II – EDUCATIONAL BACKGROUND

Highest Degree Earned *

Institution Awarding Highest Degree *

Field of Study *

Year Awarded *

SECTION III – PROFESSIONAL EXPERIENCE

Please summarize your professional experience and leadership accomplishments. (250 - 500 words) *

SECTION IV – PROFESSIONAL AFFILIATIONS

List professional organizations, societies, boards, committees, or advisory councils with which you are currently or have previously been affiliated.

SECTION V – ADVISORY COUNCIL CONTRIBUTIONS

SECTION VI – STATEMENT OF INTEREST

Your interest in serving on the Founding Advisory Council. • How your expertise can benefit the organization. • Your vision for advancing academic excellence. (250–500 words) *

SECTION VII – REFERENCES

Reference #1

Name

Title

Organization

Phone

Reference #2

Name

Title

Organization

Phone

SECTION VIII – SUPPORTING DOCUMENTS

Attach Curriculum Vitae/Resume * Allowed: PDF documents. Max size: 30 MB
Note: Server limit is 30 MB

Professional Biography Allowed: PDF documents. Max size: 30 MB
Note: Server limit is 30 MB

Letter of Recommendation Allowed: PDF documents. Max size: 30 MB
Note: Server limit is 30 MB

LinkedIn Profile Link 

SECTION IX – ADVISORY COUNCIL PARTICIPATION PREFERENCES

Preferences

Attend virtual meetings

Participate in committees

Review policies and initiatives

Mentor students or members

Assist with partnerships

Assist with fundraising

Serve as Ambassador for the organization

Available for speaking engagements

Other

SECTION X – COMMITMENT

I understand that membership on the Founding Advisory Council is voluntary and advisory in nature. I agree to uphold the mission, values, and standards of Gamma Honors & The Academic Hall of Fame, Inc.

SignaturePad *

FOUNDING ADVISORY COUNCIL MEMBERSHIP APPLICATION