Alumni Update Form

Alumni Update Form

Are you a Business Departmental Alum? If so, then please share your news with us, and fill in the information below which applies to you.

Thanks!!

Mr. Mrs. Miss Ms. Dr.

Last Name:

First Name:

MI:

Maiden Name:

Address:
Street, Apt. #:
City, State, Zip:

Business Address:
Street, Apt. #:
City, State, Zip:

Phone:
Work/Day:
Home/Evening:

Spouse's Name:

Is you spouse also a Graduate of MWSU: No Yes

If Yes, year of graduation:

News Update:

Would you be interested in receiving future communication via the Internet?
No Yes
If Yes, email address:

Employment Status:
Full Part-Time Pursuing Additional Education Retired Other

Employer Name:

Job Title:

Job Description:

Is your current position related to the degree obtained from MWSU:
No Yes

Degrees Awarded Elsewhere: AS/BS/BA/MS/Ph.D.

1. Degree:

Institution:

2. Degree:

Institution:

Graduation Year from Institution awarding Highest Degree:

Activities While at MWSU:
Student Club 1:
Student Club 2:
Other Student Clubs:

Honors Received:
Internship at:
Practicum at:
Scholarship(s) Received:

Which of the following would you be interested in: (mark all that apply)
speaking to a business class or club, on campus
having an intern at your business
occasionally talking with students about opportunities in your career area
receiving the Department newsletter (keeping up with the department's relationship with local businesses and the areas in which they can offer assistance)

Please check this box if you do not want your information to be posted online.