New Alumni Questionnaire

In an effort to gauge opinions and positions of the “New Alumni” your input is important in developing an agenda to meet the needs of our Alumni constituents and improve our customer service. Please take a few moments to complete this questionnaire. Thank you, in advance, for your assistance.

 

PERSONAL INFORMATION (Please provide post graduation information)

 

Name:                                                                          Maiden Name                                                

 Home Address:                                                                                                                                               

City:                                                                   State:                                     Zip Code:                                             

 Phone Number:            (           )                                       Cell Phone Number: (              )                             

 Primary Email Address:                                                                                                          

(Please provide us with a non-UMES email)

 Alternate Email Address:                                                                                                       

(Please provide us with a non-UMES email)

 

SCHOOL PROFILE

Major:                                                                                 Your field of study:                                             

Graduation Year(s):                   Degree(s):  1                    2                           

In what dorm/Apt/Cluster did you stay?          _         ____ ______________      or    Off Campus___________

Did you play sports for UMES?                  Yes           , What Sport__________________________             No:              

Were you an RA, SL, SD, GA, etc.? Yes       __, What Building_______________________            No:     

Are you in a Fraternity / Sorority? Yes (please identify) ________________________                     No:     

Initiation Date ____________________

 

FUTURE PROFESSIONAL PROFILE

Employer:                                                                                                                                           

Address:                                                                                                                                             

City:                                                                   State:                                     Zip Code:                                             

Title:                                                                                                                                                   

Website:                                              

 

FUTURE EDUCATIONAL PLANS

School Name: ____________________________________________________________________

City: ________________________    State ______                Zip __________

Degree Type:   MA_____        MS____           JD_____          Ph.D. _____    M.D. _____     DPT _____

Other ______

ALUMNI CHAPTER OF INTEREST:

Atlanta _____              Baltimore ______        Annapolis _____         Philadelphia _____     

Tri County ____          South East Virginia _____       Washington Metropolitan _____

(Lower Eastern Shore)

 How would you like the alumni chapter to contact you?  Phone _____          Email____       Mail ____

 What types of alumni events or activities would you likely participate in if they were made available?

Monthly Alumni Chapter Meetings                              Networking Receptions __________

0000000000000Alumni Events                                                            Short Boat Cruise _________

Sporting Events                                                          Dinner Dance _______

Cultural Events                                                           Shopping Trips                       

Long Cruise                                       ______             Childcare ______

 

Would you be interested in attending the following events on campus?

Class/Group/Team Reunions                                       Campus Tours                        

Alumni Hall of Fame Activities                                     Sporting Events (M/W)                                  

Cultural Events                                    ______            Family Weekends _______

Do you consent to UMES publishing your accomplishments in your hometown newspaper:   (Yes / No)

 Newspaper in which you would like the announcement to appear: ________________________________________________Hometown ________________________________________ (City, State or City, Country)

What recommendations / comments do you have for the Office of Alumni Affairs?

                                                                                                                                                                       

                                                                                                                                                                       

Signature: ________________________________________________                 Date: _______________

                                                                                                                                                                                   

Thank You 

 

Please return completed form to

Walter W. Woods

Assistant Director of Alumni Affairs

University of Maryland Eastern Shore

One Backbone Road/Alumni House

Princess Anne, Maryland 21853

Tel: (410) 651- 6277

Fax: (410) 651-7169

Email: wwwoods@umes.edu