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Profile Information
Your Name:
Your Maiden Name:
Your Email Address:
Graduation Celebration Date:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2010
2011
2012
2013
Address:
City:
State:
Zip Code:
Home State:
Home Country:
First Major:
Second Major:
Concentration:
Grad Year:
Choose a category that best describes your current situation. If more than one applies, please add in additional drop down lists below.
1st Situation:
Please select below...
Seeking Employment
Employed Full-Time
Employed Part-Time
Not Seeking Employment
Attending Graduate School Full-Time
Attending Graduate School Part-Time
2nd Situation:
Please select below...
Seeking Employment
Employed Full-Time
Employed Part-Time
Not Seeking Employment
Attending Graduate School Full-Time
Attending Graduate School Part-Time
Job Information (complete if you are employed)
Job Title:
Employer:
Work City:
Work State:
Describe how you view your current position:
Please select below...
satisfied my long term goals
a steppingstone to my long term goals
unrelated to my long term goals
How did you learn of your current position:
Please select below...
Networking
Previous Employer
Internship
Internet
Classifieds
Walk-In
Other
If Other:
Future Plans
General Questions
What Elementary School did you attend?:
What High School did you attend?:
Any Children:
Yes
No
Child #1 - Name & Age:
Child #1 is a:
Please select below...
Boy
Girl
Child #2 - Name and age:
Child #2 is a:
Please select below...
Boy
Girl
Married:
Yes
No
Spouses Name:
Married how many years:
Wedding was on / Estimated Weding Date is...:
What type of vehicle do you drive:
What is your Dream Vehicle (if any):
What is your favorite movie:
What is your favorite reality show:
Favorite Restaurant:
Favorite Ice Cream:
Favorite Color:
Favorite Hobbies:
Favorite Sport:
Favorite Sports Team:
Favorite Musical Artist:
Favorite Actor/Actress:
Favorite Radio Station:
Favorite Television Show:
General Questions
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Authorization
Do we have your permission to use this information to enhance your Graduation Celebration:
Yes
No
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