Application to Start Employee Affinity Group at Vanderbilt University

Leader Organizer
Name Name First Last
Title
Email
Supervisor name
Mission Statement
Please give a brief description of your group’s purpose/mission, why you want to form an EAG, and how your group will align with Vanderbilt’s mission.
Goals
Please provide 3-4 goals you have for the first year that your group will meet. This could include types of events you plan to host, number and frequency of events, membership goals, logistical goals, and the like. Also how will you ensure that the events align with the needs of the group’s members?
Membership Criteria
All Vanderbilt EAGs are open to all Vanderbilt employees, but you must have 10 individuals to form a new EAG. Do you meet the minimum membership requirement of at least 10 Vanderbilt employees interested in joining your group? (check yes or no)

Membership Criteria
All Vanderbilt EAGs are open to all Vanderbilt employees, but you must have 10 individuals to form a new EAG. Do you meet the minimum membership requirement of at least 10 Vanderbilt employees interested in joining your group? (check yes or no) Yes No
Executive Sponsor
While required to formally launch an EAG, it is not necessary to have the sponsor identified at the time of application. If you do not have a sponsor at this time, please note.
For questions or additional information, contact eag@vanderbilt.edu.