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 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.
Contact Information Phone: (320) 308-3031
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St. Cloud State University is an affirmative action/equal opportunity educator and employer. St. Cloud State University is a member of the Minnesota State Colleges and Universities system. © 2012 St. Cloud State University