Clarkson University: Enroll in the Alumni Admission Program

Personal Information
First Name: *	Last Name: *

Maiden Name:	Address: *

City: *	State: *

Zip: *	Country: *

E-Mail: *	Graduation Year: *

Home Phone: *	Fax:

Degree: *	Major: *

Business Information
Name of Organization	Job Title

Street Address:

City:	State:

Zip:	Country:

Business Phone:	Business Fax:

Business E-Mail:

Preferred Communication Location *
Home Business
Please indicate all areas in which you will be willing to participate. *
College Fairs Adopt a High School Hosting informal receptions Communication with students Job shadowing Presenting awards at high schools Hosting CUAAP general meeting or training session Assisting Admission staff with Off-Campus Interviews
Remarks: