Alumni35 Application Form

About Alumni35: Celebrating Resiliency and Global Citizenship

To celebrate the Douglas College Alumni Association’s 35 anniversary, we’re looking for 35 alumni who embody Douglas’ vision of graduating resilient global citizens. These are alumni who, either through their career, life’s work or passion project, are using their breadth and depth of skills and knowledge to adapt, innovate and lead in our ever changing world.

To apply or nominate an alum, please fill out and submit the following form:

Please indicate if you are nominating a Douglas College alum

Yes

Alumni Information

First Name

Last Name

Phone Number

Street Address

Unit #

City

Province

Postal Code

Please indicate the most recent faculty of your studies at Douglas College

Other

Please indicate if you were a Douglas College varsity athlete

Yes

Which varsity team did you play for?

Nominator Information

First Name

Phone Number

Last Name

Street Address

Unit #

City

Province

Postal Code

Relationship to applicant

Alumni Character References

If we are unable to contact your 1st reference we will contact the 2nd.

Reference #1

First Name

Last Name

Phone Number

Street address

Unit #

City

Province

Postal Code

Relationship to applicant

Reference #2

First Name

Last Name

Phone Number

Street Address

Unit #

City

Province

Postal Code

Relationship to applicant

Please answer the following questions

Please provide a written answer for the following or submit a 1-3 minute video. Global citizenship is recognized by Douglas College through actions that:

• Promote and support sustainable and inclusive economies;
• Take action for collective well-being;
• Link local action to global issues; and
• Showcase harmonious living in multicultural communities.

How do you or the nominated alum demonstrate the qualities of a resilient global citizen?

Additional Application Documents

Please attach nominee's current CV and headshot photo or upload your video application to the Dropbox folder.

CV upload

One file only.
128 MB limit.
Allowed types: pdf, doc, docx.

Headshot Photo Upload

One file only.
128 MB limit.
Allowed types: jpg, png, jpeg.

Please upload your video application to this Dropbox folder.

Is there anything else we should know about this application?

Alumni Information

Nominator Information

Alumni Character References

Reference #1

Reference #2

Please answer the following questions

Additional Application Documents

New Westminster

Coquitlam