Please take a few minutes to complete the following survey. We are really excited about the things our former students get involved in and would like to stay in touch!
Name:
Address:
City: State: Zip:
Phone:
Email:
Date of Graduation from SCSU: Degree Obtained from SCSU: B.S. B.A. B.E.S. Option: (ACS biochemistry, professional chemistry, etc.)
Would you be willing to come back to the Chemistry Department at SCSU and give a seminar? Yes No
I am currently seeking employment I am currently applying to graduate school
If you are currently employed, please complete this section.
Start Date: Employer: Location of Employment: Position:
If you are currently attending graduate/professional school, please complete this section.
Date of Graduate/Professional School Entrance: Name of School: Location of School: Area of Study: Degree Sought:
Comments: Tell us about anything exciting going on in your life.