Board of Counselors Application

All applications must be reviewed and approved the Board of Counselors Membership and Steering Committees.
The Board of Counselors Annual Financial Commitment is $300.
($150 membership dues and a minimum of $150 towards UT’s Annual Fund)

* Denotes required field.
*Applicant's Name:  First:

*Describe Firm's Activity:   
*Business Address:   
*Email Address:   
*Website Address:   
*Business Phone:   
*Cell Phone:   
*I Prefer Mail be Sent to My: 

*Home Address:   
*Home Phone:   
*Applicant's Birthday:  (ex: MM/DD/YY )
*Education:(Check all that apply) 


*College Name/Degrees/Years:  Degree 1:

Degree 2:

Degree 3:
*Are you a UT Alum?:

Is your spouse a UT Alum?:

Spouse's Name:   
Why do you want to be a member of the Board of Counselors?:     
*Professional or Service Club Affiliations:   
*Proposed/Referred By:   
I was a past BOC member: