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 *

Name of school

Location

From (Month, Year)

To (Month, Year)

Date of Graduation

Major

Degree Obtained*

Institution 2 *

Name of school

Location

From (Month, Year)

To (Month, Year)

Date of Graduation

Major

Degree Obtained

Not attending school
Reason: (Check all that apply)
Working
Taking time off
Not interested
Other:
Student Financial Aid awarded
Pell Grant
Work Study
Loans
No aid awarded

Additional Info
TRiO Program:*

What Are You Doing Now?*

Current Employment*

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

Are you willing to assist the Program as a mentor?
Yes* No
Are you interested in Alumni events?
Yes* No

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



* These fields are required.

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