Alumni Keep in Touch
Page 1 of 3
Contact Information
1.
About You
*
First Name:
Middle:
Last Name:
Suffix:
Maiden Name (if applicable):
Nickname:
2.
Gender:
*
Male
Female
3.
Home Address
*
Address:
City:
State/Province:
Zip Code:
Preferred Email:
Other Email:
Home Phone:
Business Phone:
Cell Phone:
4.
Is this a new address?
*
Yes
No
5.
How would you be involved?
*
Please check all that apply:
Receive Alumni Emails
Mentoring
Recruitment
Create Internship Opportunities
Guest Speaker
Adjunct
Attend Conferences
6.
When did you graduate from the school?
*
The value must be between 1909 and 2009, inclusive.
7.
School:
*
-- Please Select --
School of Communication
School of Communication Science & Disorders
School of Library & Information Studies
8.
Degree:
*
-- Please Select --
Bachelor's
Master's
Media Specialist (non-degree certification)
Specialist
Ph.D
9.
Do you hold more than one degree from the College?
Yes
No
10.
If yes, please indicate which School you attended for your second degree:
-- None --
School of Communication
School of Communication Science & Disorders
School of Library & Information Studies
11.
What degree did you earn?
-- None --
Bachelor's
Master's
Media Sepcialst (non-degree certification)
Specialist
Ph.D.
12.
Comments:
Need assistance contact
Melissa Raulston, Webmaster
Need assistance contact Melissa Raulston, Webmaster
