Parents Leadership Council Application
2024 - 2025
UGA PARENTS LEADERSHIP COUNCIL
MEMBERSHIP INFORMATION
PARENT/GUARDIAN 1
Name
Home Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Home Phone
Business Phone
Cell Phone
E-mail Address
Birth Date
Occupation
UGA Alum
Yes
No
Graduation Date(s)
Degree
If not, please list college attended, date(s) and degree.
PARENT/GUARDIAN 2
Name
Same address as above
Home Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Home Phone
Business Phone
Cell Phone
E-mail Address
Birth Date
Occupation
UGA Alum
Yes
No
Graduation Date(s)
Degree
If not, please list college attended, date(s) and degree.
STUDENT INFORMATION
Please list all children: students, alumni, and others. Include nicknames, if appropriate.
Name
UGA or other College/Class
Nickname
High School/Year
Name
UGA or other College/Class
Nickname
High School/Year
Check here to add additional students.
Name
UGA or other College/Class
Nickname
High School/Year
Name
UGA or other College/Class
Nickname
High School/Year
Name
UGA or other College/Class
Nickname
High School/Year
What are your primary interests in joining the Parents Leadership Council?
Do you know of other parents that we should contact to invite to join the Parents Leadership Council at this time? If so, please share their names and contact information below.
FULFILLING YOUR 2024 - 2025 COMMITMENT
A minimum annual donation of $5,000 supports the Parents Leadership Council Grants Program, through which the PLC allocates funding to student-serving initiatives and organizations on campus.
I/We pledge to donate $20,000
I/We pledge to donate $10,000
I/We pledge to donate $5,000
The requested
annual gift will honor your Parents Leadership Council commitment for 2024-2025. Please choose one of the giving options below.
Fulfill your
commitment now.
I would like to fulfill my annual Council commitment in the month of
January
February
March
. Please send me a reminder the month prior to fulfill this gift.
If you have any questions, please contact the Office of Parent Giving at
parents@uga.edu
.
