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E

Office for Alumni Relations
1349 S. Huron, Suite 2
Ypsilanti, MI, USA 48197
734.487.0250
734.487.7009 (fax)
alumni.relations@emich.edu


About this web site
Copyright © 2005
Alumni Chapters & Contacts

Alumni Contact Interest Survey

Name

Address

City

State

Zip

Okay to put address information on the web?

 Yes
No

Daytime Telephone

Okay to put daytime telephone information on the web?

 Yes
No

E-mail address:

Okay to put e-mail address on the web?

 Yes
No

Grad year(s) from EMU:

Degree(s) received from EMU:

Campus involvement:


Current Occupation:

Current Employer:


Why do you want to serve as an alumni contact?

Yes, I have read the information about alumni contacts and am willing to accept the responsibility required.

 
 

 

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