| * Name: |
|
| * Address: |
|
| * City: |
|
| * State: |
|
| * Zip Code: |
|
| * Country: |
|
| Home Phone: |
|
| Cell Phone: |
|
| Email Address: |
|
| High School: |
|
| Graduation Year: |
|
VOLUNTEER INTEREST
|
| I would be willing to: (check all that apply) |
| Appear in promotional ad |
| Volunteer at an event |
| Write a letter of support or testimonial |
| Speak to high school students |
| Speak to donors/funders/legislators |
| Donate Money |
| Work on alumni newsletter |
CURRENT STATUS
|
| College: |
Graduated:
|
| Major: Yr: |
| Employed: |
| Where: |
| Part-time Full-time |
| Military: |
| Branch: |
| Training Program |
| Where: |
Comments:
|
|