1. Alumni General Information

* 1. Contact Information:

* 2. Preferred Mailing Address:

* 3. Information:

* 4. Affiliation with The Counseling Center of Milwaukee, Inc. (check all that apply):

* 5. Please Rate the Following Questions:

  Strongly Agree Agree Neutral Disagree Strongly Disagree
TCCM was an integral part of my education and/or work experience.
TCCM deepened my understanding regarding how to better contribute to the Milwaukee community.
The choices Ihave made regarding my current occupation were influenced by my time spent at TCCM.
I would recommend TCCM to a friend or family member for volunteer/work opportunities.
I am currently or would like to be more involved with TCCM activities.

* 6. If you are interested in participating in TCCM activities please indicate below.

* 7. Quarterly newsletter:

  Yes No
I receive the quarterly newsletter.
If marked yes, do you find the quarterly newsletter informative?
If marked no, would you like to start receiving the quarterly newsletter?