Name:                            
Home Address:               
Home Phone:                  
Business Phone:              
Profession:                      
Title:                               
Company:                      
Business Address:          
City, State, Zip:              
E-mail:                            
Web Information:            
Penn State Degree/Year:
Major:                            

Recent Activities (e.g., job changes, marriages, children, awards, and honors to be listed in Alumni News/Accolades on Web site and in Connections):

More About You

Professional Affiliations (organizations, positions, dates of service):

Community Affiliations (organizations, positions, dates of service):

I would like to volunteer for the following Ag Alumni committee(s):

[Select a Committee] Armsby Committee Development and Advocacy Committee Membership Building Committee Fellowship Committee Recognition Committee Student Engagement Committee Student Enrollment Committee

Click here for description of committees

College of Agricultural Sciences and General Penn State Interests

Have you ever attended a College of Agricultural Sciences alumni function?
Yes       No

If so, what was the name of the event and in what city was it held?

Would you be interested in mentoring a College of Agricultural Sciences student?
Yes       No

Do you have an interest in attending a college-sponsored activity in your area?
Yes       No

Please check all those you are interested in attending:
Professional development      Social with a program/speaker
Social                                    Other (please specify):  

Would you be willing to meet with someone from the college to talk about the needs of our college and how you may be able to help?
Yes       No

If so, where do you prefer to be contacted?
Work       Home

Does your employer offer an internship program?
Yes       No

How often do you return to campus?   

Which types of events do you or would you attend?
Career fair                              Ag Progress Days
Professional development       Speak in classes
Student seminar                     Ag Alumni Annual Meeting and Luncheon at Ag Progress Days 

Other (please specify):   

College Information and Communications

How do you rate the effectiveness of Connections in terms of keeping you informed about the college's activities? (Note: All members of the society receive Connections.)
Very      Somewhat     Not at all

What news do you appreciate receiving?
College news                    Faculty news
Student news                    Alumni news
Special events notices       Calendar of events

What would you recommend as an interesting news item in the Connections?

Would you like to join a listserv to receive college news on a more timely basis?
Yes       No

What information would you find helpful on this Web site?