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):
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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?