UWF Network-a-Thon Registration Form Survey

So glad you will be joining us!

Network-A-Thon: Friday, March 22, 2013
4:30 pm to 7:00 pm, UWF Conference Center

- Network with celebrity guests, area alumni, local professionals and major employers
- Enjoy engaging break-out sessions and networking activities
- Heavy hors d’oeuvres and cocktails
- Your participation can benefit any of the 300 plus funds at UWF Foundation including scholarships, colleges, departments and programs
- Closing celebration to conclude the evening

1. One goal of the UWF Network-a-Thon is to raise critical funds for scholarships and programs at UWF so that students of all backgrounds can access an excellent education. Every dollar makes a difference but no gift is required to participate. Please indicate your intentions.

One goal of the UWF Network-a-Thon is to raise critical funds for scholarships and programs at UWF so that students of all backgrounds can access an excellent education. Every dollar makes a difference but no gift is required to participate. Please indicate your intentions. I pledge to give the amount below. (Pledges may be paid at check-in, online or via mail.)

I already made my gift online at www.uwf.edu/give.

I do not plan to make a gift.

Pledge amount (if applicable):

Gifts may be mailed to UWF Foundation, Inc., 11000 University Parkway, Pensacola, FL 32514.

2. Contact Information

Contact Information Name:
Home address:
Home phone:
Cell phone:
Work phone:
E-mail:

3. Employment (if applicable):

Employment (if applicable): Job Title:
Employer:
Employer address:

4. What industry do you represent and/or seek employment in?

What industry do you represent and/or seek employment in?

5. Are you recruiting a team of 5 or more people to come with you to this event? If so, please ensure that each guest registers separately so that we have an accurate headcount for planning purposes.

Are you recruiting a team of 5 or more people to come with you to this event? If so, please ensure that each guest registers separately so that we have an accurate headcount for planning purposes. Yes

Comments:

6. Name of your "team captain" a.k.a. the person who invited you (if applicable):

Name of your "team captain" a.k.a. the person who invited you (if applicable): The person who invited me is listed below in the comments field

I am coming on my own accord

I'm not sure

Comments:

7. Please indicate your affiliation with UWF. Check all that apply.

Please indicate your affiliation with UWF. Check all that apply. Undergraduate student

Graduate student

Alumnus(a) of UWF

None of the above