Alumni Association Registration Form Survey

1. If you are interested in registering for the Herzing University Alumni Association please fill out the form below.

If you are interested in registering for the Herzing University Alumni Association please fill out the form below. Name:
Address:
Address 2:
City:
State:
ZIP:
Email Address:
Phone Number:

2. Graduation Month/Year

Graduation Month/Year

3. Program of study

Program of study

4. I am interested in helping plan and organize events.

I am interested in helping plan and organize events. Yes

No

5. I am interested in a leadership position within the Alumni Association. (President, Vice President, Secretary) This would involve attending meetings a few times a year, leading event coordination, working with the campus on all initiatives related to the Alumni Association as well as helping to promote and grow the association.

I am interested in a leadership position within the Alumni Association. (President, Vice President, Secretary) This would involve attending meetings a few times a year, leading event coordination, working with the campus on all initiatives related to the Alumni Association as well as helping to promote and grow the association. Yes

No

6. What would you like to see from the Alumni Association? What kind of events or activities would you be interested in?

What would you like to see from the Alumni Association? What kind of events or activities would you be interested in?

7. Additional thoughts or comments:

Additional thoughts or comments:

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