Alumni Survey

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!

Contact Information

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 and give a seminar?
Yes No

I am currently seeking employment
I am currently applying to graduate school

Employment

If you are currently employed, please complete this section.

Start Date:    Employer:
Location of Employment:
Position:

Academic

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.

 

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