Georgia State Engineering Network Interest Survey
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
3.
Maiden Name
*
4.
Contact Email
(Required.)
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5.
Contact Phone
(Required.)
6.
Address 1
7.
City
8.
State
9.
Zip
10.
Transfer or Graduation Year
11.
Pathway or AS Degree
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Bachelor’s Degree/University
13.
Employer
14.
Industry
15.
Preferred Method of Communication
E-mail
Phone
Mail
16.
Age Range
21-32
33-49
50-69
70+
17.
What type of alumni network events interest you?
Happy Hour Social
Community Service
Professional Development
Family-Oriented events
Student Engagement
Athletic Events
Speaker Series
Networking
Advocacy & Awareness
Arts & Culture
Virtual Events
Screen on the Green
Alumni Film Festival
18.
Which Volunteer opportunities interest you?
Industry related panel events
Community Service
Panel Events
Mentoring Current Students
Speaking to classes
Serve on an Advisory board
19.
Alumni network event suggestions and ideas?
20.
Source of Georgia State news and events (Check all that apply)
Social Media
Georgia State Website
Alumni Association Website
Panther News E-newsletter
Alumni Network email
Perimeter E-newsletter
21.
Are you interested in Alumni Network leadership opportunities?
Yes
No
22.
Addtional Comments