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In the interest of generating membership and activities, the Delaware Chapter of the Penn State Alumni Association would appreciate your completing this survey.

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1. Are you currently a member of any Penn State alumni chapter?

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2. Would you be interested in joining the Delaware Chapter?

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3. If yes to question two, would you be interested in serving on the board or being a board officer?

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4. Please check the types of activities in which you would like to participate:

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5. Which locations would you be most likely to attend for Penn State alumni events in Delaware?
Select all that apply.

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6. Would you be interested in participating on the communications, membership, publicity, or program committees? If so, please specify below.

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7. Would you be interested in participating in social, cultural, or athletic events? If so, please specify below.

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8. Would you be interested in helping to organize any of the above activities? If so, please specify below.

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9. Name:

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10. Year of graduation:

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11. Address:

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12. Phone number:

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13. E-mail:

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