MS Alumni Survey

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* 1. First (Given) Name

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* 2. Last (Family) Name

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* 3. Year of entry into MS program

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* 4. Year of graduation from MS program

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* 5. E-mail addresses (other than CU or CU Alumni email)

Preferred e-mail

Alternate e-mail

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* 6. Phone Numbers

Cell

Other

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* 7. Address [NOTE: This is required if you'd like an IHN shopping bag]

Street

City

State

Zip

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* 8. If you attended or are currently attending a professional school after completing your MS list the degree and institution below.

Degree

Institution

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* 9. Check any of the following areas in which you've been involved since completing the MS program in Human Nutrition.

	Yes	No
Advocacy & Nutrition Policy	Advocacy & Nutrition Policy Yes	Advocacy & Nutrition Policy No
Basic Science Research	Basic Science Research Yes	Basic Science Research No
Clinical Research	Clinical Research Yes	Clinical Research No
Dentistry	Dentistry Yes	Dentistry No
Medicine	Medicine Yes	Medicine No
Nursing	Nursing Yes	Nursing No
Nutrition Education	Nutrition Education Yes	Nutrition Education No
Nutrition & Food Industry	Nutrition & Food Industry Yes	Nutrition & Food Industry No
Occupational Therapy	Occupational Therapy Yes	Occupational Therapy No
Pharmaceutical Industry	Pharmaceutical Industry Yes	Pharmaceutical Industry No
Physical Therapy	Physical Therapy Yes	Physical Therapy No
Physician Assistant	Physician Assistant Yes	Physician Assistant No
Public Health	Public Health Yes	Public Health No
Journalism	Journalism Yes	Journalism No

Where are you currently working?

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* 10. Are you willing to be part of the IHN's MS alumni network? Check yes or no to the options for involvement below.

	Yes	No
Prospective students may contact me for information about the MS program	Prospective students may contact me for information about the MS program Yes	Prospective students may contact me for information about the MS program No
Current students may contact me for information about job opportunities and career advice	Current students may contact me for information about job opportunities and career advice Yes	Current students may contact me for information about job opportunities and career advice No
Alumni may contact me for information about job opportunities and career advice	Alumni may contact me for information about job opportunities and career advice Yes	Alumni may contact me for information about job opportunities and career advice No

Thank you for taking the time to complete this survey!