/Alumni_Survey_Form

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ALUMNI SURVEY Name:

_____________________________________________________

Address:

_____________________________________________________ _____________________________________________________

City:

________________________

Home Phone:_____________________

State: _________ Zip:

_______

Cell:________________________

Email:

________________________________________________

Graduation Year:

________________________________________________

Major:

________________________________________________

Present Position: _________________________________________________ I would like to be notified of Alumni events. I would like to receive general USCB publications. I would like to make a donation. I would like to volunteer with

Recruitment Job Placement Alumni Gatherings

By signing this form, you give USCB permission to maintain the information you provided above in a database and publish it in an alumni directory and to contact you for potential stories about alumni. Signature: ______________________________________________________

Please complete and sign this form and mail to: USC Beaufort Development/Alumni Office One University Boulevard Bluffton, SC 29909 Questions? Please contact Colleen Callahan, Director of Development, 843/208.8080.


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