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First Name*

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Middle Name*

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Last Name*

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Maiden Name

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Gender*

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Prefer Not to Say

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Badger ID

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Please type "N/A" if unsure.

Graduate Status*

Alumni (graduated)

Attendee (attended, did not graduate)

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Grad Year / Last Year Attended*

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Preferred/Nick Name

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Date of Birth*

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Street Address*

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Mailing Address (if different from street address)

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City or Town *

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State*

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Zip / Postal Code*

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Country*

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International Address (if applicable)

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Please use this field if you have an international address with a different format than listed above.

Cell Phone*

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Home Phone

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Email*

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Personal email address preferred.

Employer*

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If currently unemployed, type "N/A"

Job Title*

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If currently unemployed, type "N/A"

Snow Honors or Awards

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Your Major at Snow*

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What Degree/Certificate Did You Earn at Snow?*

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Any Other Comments?

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Would You Like to Receive the Monthly Alumni E-Newsletter?*

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(If yes, please ensure the email of choice is included above.)