John Brown University

Parent Association

Parent Association Council

Membership Application

Thank you for your interest in serving on the John Brown University Parent Association Council. The Council meets bi-annually, once during Fall Semester in August or September and once during Spring Semester, on Family Weekend in February.

We request Council members commit to attending these meetings for the duration of their term. Ideally, a couple or single parent would serve throughout his/her child’s four years at JBU, though joining the

Council during their student’s sophomore or junior year is possible. Attached to this profile is a copy of our Purpose Statement and the Parent Association Council Guidelines to provide the necessary information for you to prayerfully consider serving.

This is a working council focused on improving communication with parents and providing service to our students. We desire to fill our vacancies with action-oriented volunteers from different regions of the country representing our JBU student body.

Please submit the following information via mail or e-mail to Jerry Rollene, Director of Alumni & Parent Relations, 2000 West University Street, Siloam Springs, AR 72761 or .

Name(s):

Address:

Phone: Fax: E-mail:

1.  Current Employment:

2.  Church Membership:

3.  Church or Civic Involvement:

4.  Family Info:

Student(s) @ JBU

Name:

Age:

Year:

Major:

Other Children

Name:

Age:

5.  We will be able to attend two Parent Association Council meetings each year.

YES NO

6.  We agree with and accept the Mission Statement of JBU and the Purpose Statement of the Council. YES NO

7.  We would be willing to host a parent reception or a career fair booth in our area. YES NO

8.  Tell us about your experience with JBU. What could we do better, what do we do well?

9.  What strengths/skills do you feel you bring to the Parent Association Council?

10.  We would like to serve on the Council because:

If there is any other information you would like to include please feel free to do so. We thank you for being interested in JBU and the JBU Parent Association Council.

Thank you and may God bless your willingness to serve!

Jerry Rollene ‘75

Director of Alumni & Parent Relations

John Brown University

479-524-7212

888-528-2586

Fax 479-524-7348