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Student Engagement Focus Group

Thank you for registering for the Student Engagement focus group on April 15. We appreciate you volunteering your time to give us your feedback on student programming, communications and philanthropy here at Montclair State. This information will help us greatly as we plan future student events and activities.

By providing the information below you'll help us better prepare for that day.

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* 1. Name:

First name:

Maiden/Middle name:

Last name:

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* 2. Contact Information:

Phone number:

MSU E-mail:

Non MSU E-mail:

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* 3. If you are a current student, what year are you completing?


Please choose from the drop down menu:	Please choose from the drop down menu: menu

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* 4. What is your current major?

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* 5. Please provide your Student ID Number:

Thank you for completing our registration form. If you have any questions please contact the Office of Alumni Relations at 973-655-4141. We look forward to seeing you April 15!