2009 Alumni Survey

1. Personal Information

Please allow us the privilege of updating our alumni data with your information. If you would take a few minutes and complete the following survey. Thank you.

1. Name:

Name:

2. Address:

Address:

3. Is this a new address?

Is this a new address? Yes

4. Home Phone:

Home Phone:

5. Work Phone:

Work Phone:

6. Company/Agency Name:

Company/Agency Name:

7. Company/Agency Address:

Company/Agency Address:

8. Position and how long?

Position and how long?

9. Email:

Email:

10. Years and Activities within the Kinesiology Department?

Years and Activities within the Kinesiology Department?

11. Current Kinesiology/PE Activities

Current Kinesiology/PE Activities

12. Personal news for friends - If this is not enough space, please don't hesitate to write us a letter!

Personal news for friends - If this is not enough space, please don't hesitate to write us a letter!