Alumni

First Name*

Last Name*

Phone Number*(###) ###-####

Email *

Confirm Email*

Street Address

Address Line 2

City

State

Zip/Postal Code

Country

Graduation Year*

Degree and Major Conferred

Profession

Are you willing to mentor a student?

Yes

No

Are you willing to allow students to shadow you?

Yes

No

Are you interested in serving on the Patterson School of Natural Sciences advisory board?

Yes

No

Are you willing to sponsor a research student?

Yes

No

Are you willing to write recruiting letters to prospective students?

Yes

No

Are you willing to speak to students on campus?

Yes

No

What size group are you most comfortable speaking to?

a large group or class

a small group

both large groups and small groups

Are you excited about supporting the Patterson School of Natural Sciences in a way that is not listed here? If so, please describe your idea below.