Alumni Form

Hi, TRiO Alumni! We would like to stay connected with you and have plans to establish a regional TRiO Alumni Association. We would like to know where you are and what you are doing with your lives. Please complete the form below if you would like to be a part of the group. We wish you the best.

Personal Info

Name:*

Mailing Address:*

City:*

State:*

Zip:*

E-mail:*

Phone:*

Educational Info

High School Graduation Date:* (Ex. 05/25/1998)

College Graduation Date:* (Ex. 05/25/1998)

Institution*

Degree Obtained*

Additional Info

TRiO Program:*

What Are You Doing Now?*

Current Employment*

How do you feel your participation in a TRiO program impacted your life?*

I understand that all contact information will remain with TRiO project personnel and will not be sold or provided to any third party. I give permission to share my information with other TRiO staff and alumni.

Yes* No*