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Board of Fellows Application

Membership Proposal and Application
After you submit your application, please send a letter of recommendation via email to or fax to (813) 258-7798. Your letter of recommendation must be written by someone other than your application referral. 
~ All applications must be reviewed and approved by the Board of Fellows Membership and Steering Committees. ~

The Board of Fellows annual financial commitment is $1,250 ($250 membership dues and a minimum of $1,000 towards UT’s Annual Fund)

* Denotes required field.  

*Applicant's Name:








*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:

*Professional or Service Club Affiliations
and role that you play in each organization:


*Proposed/Referred By:

*Why do you want to join the Board of Fellows?